Dealer Registration Form
Trade Name:
Your Name:
Business Telephone:
Home Telephone:
When is the best time to phone you?:
Partner or Spouse:
E-Mail Address:
Mailing Address:
City:
State:
Zip Code:
Country:
Please describe the type of merchandise you carry:
Please list the shows that you have done in the last year:
Do you use?:
pegboards
curtains
backdrops
tables
showcases
full walls
Other information that can help in selecting the best location for you:
Do you have a NY State Tax Certificate of Authority?:
yes
no
Please write your certificate number
To obtain a NY State Tax Certificate of Authority please visit
www.tax.state.ny.us
and print out forms DTF-17 + DTF-17 I
Type Of Vehicle:
car
van
box truck
motor home
Who referred you to Flamingo?
Show(s) in which you are interested: