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2012 Trade Show Customer Registration

 
 
Account Number:*
 
 
Enter your six digit primary store account number or chain name in the box above. If you are registering multiple individual stores, please enter the six digit account numbers below.
 
Multiple Store Account Numbers:
 
 
 
 
 
 
 
 
 
 
   
 
Customer Contact Name:*
 
 
Salesrep:*
 
 

 
1st Person Attending the Trade Show:*
     
Authorized to Buy:*
 
Yes  No
 

 
2nd Person Attending the Trade Show:
   
Authorized to Buy:
  Yes  No  

 
3rd Person Attending the Trade Show:
   
Authorized to Buy:
  Yes  No  

 
 
4th Person Attending the Trade Show:
   
Authorized to Buy:
  Yes  No  

 
 
5th Person Attending the Trade Show:
   
Authorized to Buy:
  Yes  No  

 
6th Person Attending the Trade Show:
   
Authorized to Buy:
  Yes  No  
       
*Strollers, totes and empty bags will not be allowed on the Trade Show floor. If any of these
items are brought, you will be asked to leave them in the lobby at your own risk.
Thank you for helping us make this Trade Show the safest and most successful to date!
 
     
By checking this box, I accept the Terms & Conditions as outlined in the 2012 Trade Show informational packet.
 
       
 
     
       
       
©2012 Cooper-Booth Wholesale Co. • 200 Lincoln West Drive, Mountville, PA 17554 • 800-992-0592 • info@cooperbooth.com
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