Badge Requests received by June 15, 2004 will be mailed to you prior to the show. After June 15, badges may be picked up on-site at "Will Call."

Two forms of proper business credentials required. Credentials may be a business card clearly stating your status as a retail owner, manager or buyer and a copy of your company business license or tax certification.

Fields marked with * are required.

First Name:*
Last Name:*
Company Name:*
Company Street Address:*
Zip Code:*

Phone Number:*
Fax Number:*
Email Address:
Web Site Address:

What is your job title?*

What is your product type?* (select all that apply)
Men's Shoes Women's Shoes Children's Shoes
Handbags/Accessories Apparel

What is your type of business?*
If "Other":

What is your retail price point?* (select all that apply)
Discount Budget Moderate
Upper Moderate High End

Once you have completed this form, please print it out by selecting the "print" button on your browser. Then fax or mail it along with your proper business credentials to:

WSA Registration Headquarters
PO Box 52170
Irvine, CA 92619

or Fax: (949) 475-1765

Thank you for registering for the upcoming WSA Show!

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