Member Pre-Registration

	MEMBER ON-LINE PRE-REGISTRATION DEADLINE: JUNE 1, 2001 for the August 2001 Footwear Show
Complete ONLY if your Company does not include your name on the Market Contract.
First Name:
Last Name:
Company:
Address:
Suite/Floor:
City:		State:
Zip:		Country:
Tel:
Fax:
Check here if this is a new address
Your e-mail address:
LIST EXHIBITING COMPANY FOR YOUR SHOW BADGE:

SUBMIT FORM FOR EACH ADDITIONAL COMPANY YOU ARE REPRESENTING
Please Note: This form does not update your membership listing. Submit separately, in writing, all company & brand changes to WSA.
Please enter any comments below.
Comments:

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