| I PLAN TO ATTEND THE NEXT SHOW: |
|
| JUST PUT ME ON YOUR MAILING LIST: |
|
| Your First Name: |
|
| Your Last Name: |
|
| Company name: |
|
| Sales or Business License #: |
(If Available) |
| Total Number of Stores: |
|
| Who is Your Largest Supplier ? |
|
| Dept. Store ? |
Yes No |
| Mass Merchant ? |
Yes No |
| Specialty Store Chain ? |
Yes No |
| Mail Order Catalog ? |
Yes No |
| E-Tailer ? |
Yes No |
| Resident Buying Office ? |
Yes No |
| Importer ? |
Yes No |
| Wholesaler ? |
Yes No |
| Manufacturer ? |
Yes No |
| Distributor ? |
Yes No |
|
| Address |
|
| |
|
| City |
|
| State or Province |
or |
| Country |
|
| Nine Digit Zip or Postal Code |
example: 33133-6437 |
| Phone |
|
| Fax |
|
|
| E-Mail Address |
|
| E-Mail Verify |
|
| Web site URL |
|
|
Which hotel do you plan to use?
This can be important in case of an emergency. |
|
If you require additional information not available on our web site.
Please feel free to call us at (718) 261-1181 |
