Buyer First Name*
Buyer Last Name*
Show Date* —Please choose an option—Summer - JanuaryFall - AprilFall II - JuneHoliday / Resort - AugustSpring - October
Returning Buyer? YesNo
New to FMNC? YesNo
Change Address/Store Name YesNo
Please select all that apply* Retail StoreE-BusinessCatalog
Please select one BudgetModerateBetter
Store Name
Store Address
Please select one (required to attend) Business LicenseTax IDSeller's Permit
Email
Phone
Fax
Select all that apply AccessoriesActive / SwimwearBetterwearBridal / Formal / CocktailChildrensContemporaryDressesHosiery / FootwearJuniorMaternityMissyOuterwearPetitiesQueen / LargeSportswear
Badge #1 Badge #2 Badge #3
Special Note
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