Buyer Registration

February 17 — 19, 2009

Please provide copies of the following:

• Business Cards
• Business Tax I.D.
• Personal I.D. (Driver's License, Passport, etc.)

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* Denotes required fields

*Buyer Name
*Business Name
*Mailing Address
*City
State	--- SELECT STATE ---ALABAMAALASKAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIARHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMINGAMERICAN SAMOAFEDERATED STATES OF MICRONESIAGUAMMARSHALL ISLANDSNORTHERN MARIANA ISLANDSPALAUPUERTO RICOVIRGIN ISLANDSArmed Forces Middle EastArmed Forces AmericasArmed Forces Pacific
*Zip
*Country
Province
*Telephone
Fax
*E-mail
Website
Business Documentation
*Tax Permit #
*Title	--- SELECT ONE ---CEOPresidentGMMMerchandise ManagerAssistant BuyerOwnerVice PresidentDMMBuyerStore Manager
*Type of Business	--- SELECT ONE ---Independant SpecialtyStore Buying OfficeExporter/ImporterE-BusinessSpecialty Store ChainSalon/SpaDistributor/WholesalerDepartment StoreCatalog/Mail CenterConcessions/Outlet/BazaarMass Merchant/Discount StoreTrading Company
*Number of Stores You Buy For	--- SELECT ONE ---12 - 56 - 20More than 20
*Classify Merchandise	-- SELECT CLASSIFICATION --BudgetModerateBetterBridgeDesigner
*I Buy Merchandise For (check all that apply)	Kid's Pre-teen Junior Missy Menswear Contemporary Plus Size
*I Am a Buyer For: (check all that apply)	Swimwear Beachwear Accessories Resortwear Sportswear Active Apparel

Submit this application in order to receive your badge in advance. Admission on to the show floor is for qualified retailers/buyers only. Upon arrival, pre-registered buyers will be asked to present their badge and a photo I.D. in order to pick up their badge holder.