Attendee Registration


Please complete the information below:

	Check the box if you do not want to receive fax messages from Urban Expositions
* indicates required information
Company/Store Name:	*
Buyer/Attendee Name #1:	*
Buyer/Attendee Name #2:
Buyer/Attendee Name #3:
Buyer/Attendee Name #4:
Buyer/Attendee Name #5:
Address 1:	*
Address 2:
City:	*
State/Province	NONE ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OREGON OKLAHOMA PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING
Or Enter Province:
Zip Code:	*
Country:	*
Phone:	*
Fax:
Primary Email:
Buyer/Attendee Email:
Website:
Business Category	Please Select a Primary Business Category: Apparel - 29 Beach/Souvenir & Novelty Shop - 16 Beach/Surf Shop - 26 Bookstore - 11 Boutique Store - 20 Camera Retailer - 37 Catalog/Mail Order - 08 Childrens/Toy - 10 Christmas/Seasonal - 31 Convenience Store - 22 Department/Chain Store - 07 Dive Shop - 25 Drug Store/Pharmacy - 09 E-tailer - 36 Family Fun Center - 23 Feed Store - 33 Florist - 04 Garden Center - 13 General Gift/Specialty Shop - 01 General Merchandise - 18 Gourmet Food - 12 Hardware Store - 32 Home Furnishing - 05 Hospital/Institution Gift Shop - 02 Hotel/Resort Gift Shop - 28 Jewelry Store - 06 Museum Gift Shop - 17 National/State/Local Park Gift Shop - 19 Nature Center - 34 Other - 15 Pet Store - 35 Social Stationery - 03 Souvenir/Novelty Shop - 27 Swimwear Shop - 21 Textiles - 30 Theme Park - 14 Unclassified - 99 Wild Bird Specialty Store - Franchise - 39 Wild Bird Specialty Store - Independent - 38 Zoo/Aquarium - 24

Please remember to bring your personal ID along with two forms of business ID to validate your buyer badge at the show registration desk.

Two forms of business ID may include: business license, tax ID #, letterhead, business card, paystub, company check or any other collateral with your company name.