2023-24 EWSRA Market, Mart and Expo Registration

Please bring a form of ID upon arrival (business card, tax ID, pay stub).
REGARDING COVID-19: We will be following all recommended State and Local Health Department guidelines.
The safety of our exhibitors, attendees and staff is of the utmost importance.

Shop Name(*)

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New Shop

Yes

No

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Year Shop Opened

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Address Change

Yes

No

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MailingAddress(*)

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City(*)

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State(*)

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Zip Code(*)

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Phone(*)

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Fax

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Email Address(*)

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Website(*)

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Shop Owner/Manager(*)

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Total # of Stores(*)

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Are you a Branch Or Main Store?

Branch

Main Store

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Number of attendees(*)

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Please provide the information below for each attendee.

Attendee 1: Full Name

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Attendee 1: Shop Position

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Attendee 1: Personal Email
(required for contact tracing & last minute notifications) (*)

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Attendee 1: Cell Phone
(required for contact tracing & last minute notifications) (*)

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Attendee 1: Dates Attending Shows

EWSRA November Market, NJ Convention & Expo Center, Edison, NJ (NOV)

EWSRA/SWRA January Mart, Kalahari Convention Center, Pocono Mountains, PA (JAN)

EWSRA February Expo, Wind Creek Center, Bethlehem PA (FEB)

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Attendee 2: Full Name

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Attendee 2: Shop Position

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Attendee 2: Personal Email
(required for contact tracing & last minute notifications) (*)

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Attendee 2: Cell Phone
(required for contact tracing & last minute notifications) (*)

Invalid Input

Attendee 2: Dates Attending Shows

EWSRA November Market, NJ Convention & Expo Center, Edison, NJ (NOV)

EWSRA/SWRA January Mart, Kalahari Convention Center, Pocono Mountains, PA (JAN)

EWSRA February Expo, Wind Creek Center, Bethlehem PA (FEB)

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Attendee 3: Full Name

Invalid Input

Attendee 3: Shop Position

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Attendee 3: Personal Email
(required for contact tracing & last minute notifications) (*)

Invalid Input

Attendee 3: Cell Phone
(required for contact tracing & last minute notifications) (*)

Invalid Input

Attendee 3: Dates Attending Shows

EWSRA November Market, NJ Convention & Expo Center, Edison, NJ (NOV)

EWSRA/SWRA January Mart, Kalahari Convention Center, Pocono Mountains, PA (JAN)

EWSRA February Expo, Wind Creek Center, Bethlehem PA (FEB)

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Attendee 4: Full Name

Invalid Input

Attendee 4: Shop Position

Invalid Input

Attendee 4: Personal Email
(required for contact tracing & last minute notifications) (*)

Invalid Input

Attendee 4: Cell Phone
(required for contact tracing & last minute notifications) (*)

Invalid Input

Attendee 4: Dates Attending Shows

EWSRA November Market, NJ Convention & Expo Center, Edison, NJ (NOV)

EWSRA/SWRA January Mart, Kalahari Convention Center, Pocono Mountains, PA (JAN)

EWSRA February Expo, Wind Creek Center, Bethlehem PA (FEB)

Invalid Input

Attendee 5: Full Name

Invalid Input

Attendee 5: Shop Position

Invalid Input

Attendee 5: Personal Email
(required for contact tracing & last minute notifications) (*)

Invalid Input

Attendee 5: Cell Phone
(required for contact tracing & last minute notifications) (*)

Invalid Input

Attendee 5: Dates Attending Shows

EWSRA November Market, NJ Convention & Expo Center, Edison, NJ (NOV)

EWSRA/SWRA January Mart, Kalahari Convention Center, Pocono Mountains, PA (JAN)

EWSRA February Expo, Wind Creek Center, Bethlehem PA (FEB)

Invalid Input

Attendee 6: Full Name

Invalid Input

Attendee 6: Shop Position

Invalid Input

Attendee 6: Personal Email
(required for contact tracing & last minute notifications) (*)

Invalid Input

Attendee 6: Cell Phone
(required for contact tracing & last minute notifications) (*)

Invalid Input

Attendee 6: Dates Attending Shows

EWSRA November Market, NJ Convention & Expo Center, Edison, NJ (NOV)

EWSRA/SWRA January Mart, Kalahari Convention Center, Pocono Mountains, PA (JAN)

EWSRA February Expo, Wind Creek Center, Bethlehem PA (FEB)

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Your Shop Type

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2023-24 EWSRA Market, Mart and Expo Registration

EWSRA THANKS OUR ADVERTISERS

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