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Free Advance Attendee Badge Registration
H.H. Backer Christmas Trade Show
October 10-12, 20112


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Quick registration code (if applicable):  
 
Important:
  • The advance registration deadline for free badges is September 14, 2012
  • The show is for qualified pet industry members only (not open to the public)
  • We do not confirm registrations
  • At the end of your online registration, please carefully read and print page with tracking number
STEP 1: PROOF OF TRADE AFFILIATION

You must complete the mandatory fields below in order to qualify for a badge. All information will be verified.

Name of distributor (if applicable):

Company tax I.D. number or retail business license number:


STEP 2: COMPANY INFORMATION

First Name  
Last Name  
Title  
Company Name  
Address 1  
Address 2
City  
State/Province  
Zip Code  
Country
Business Phone  
E-mail  

By providing your e-mail address, you agree to receive show-related information from H.H. Backer Associates/PET AGE Magazine.

IMPORTANT: Additional names from the same firm name/address as above (if different address or secondary company representatives are attending, resubmit this form for each company).

If Additional Name is of someone under 15, then write CHILD in the title field.

Additional Name:  Title:
Additional Name:  Title:
Additional Name:  Title:
Additional Name:  Title:
Additional Name:  Title:
Additional Name:  Title:
Additional Name:  Title:
Additional Name:  Title:
Additional Name:  Title:






STEP 3: DEMOGRAPHIC INFORMATION

In order to verify your online subscription request, we are required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request.
What is the first letter of the city where you were born?

COMMENTS/SPECIAL INSTRUCTIONS:

The publisher reserves the right to determine qualification for
a free subscription and admission to the show.

After clicking submit, you will be brought to a page with your personalized tracking number.
Please print the page with the tracking number.

Please resubmit if you do not get redirected to page with tracking number. Thank you!