G.L.D.A., Inc.
Post Office Box 2391
Tucson, Arizona 85702
(520) 792-9431
(520) 882-2836 fax

PRE-REGISTRATION
INFORMATION

Please fill out the following registration form (type or print all information).

Please send or fax a copy of your tax exemption certificate or business license, and business card.

This is a wholesale trade show, and open to qualified buyers. NO CHILDREN UNDER 15 YEARS OF AGE WILL BE ADMIITTED.

THERE IS NO FEE

January 10th is the LAST day to pre-register

THIS FORM MUST BE FAXED OR MAILED IN

REGISTRATION FORM/BLANKET EXEMPTION CERTIFICATE 

Firm Name ______________________________________________

Mailing Address ________________________________________

City ___________________________________________________

State/Country _________________________ Zip ____________

FAX: _______________ E-mail: ___________________________

Valid sales tax exemption number _______________________

I am engaged in the business of ________________________

All merchandise which I (we) shall purchase from the
exhibitors in G.L.D.A. Las Vegas Show is:

___ for resale in its original form.
___ to be made part of, or consumed in the production of
    a MANUFACTURED product to be sold at retail
___ Other (specify) ____________________________________

Names of qualified buyers needing badges.
Print all names on the following lines:

 1.________________________   7.________________________

 2.________________________   8.________________________

 3.________________________   9.________________________

 4.________________________  10.________________________

 5.________________________  11.________________________

 6.________________________  12.________________________

Number of days you plan to attend? _____________________

I (we) agree to hold G.L.D.A. harmless from any and all claims, demands, suits, liability, damages, loss, costs, attorney fees, and expenses of whatever kind or nature which might result from our attendance or participation in this show.

This certificate shall be considered a part of each order which I (we) shall give unless the order otherwise so specifies. if any of such property is retained for our own use, we will report and pay the tax, measured by the purchase price of such property. 

Signed __________________________ Title ________________
                                   Date ________________

This page must be faxed (520-882-2836) or mailed as a signature is required.

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