Buyer Pre-Registration

Please complete this form to register with us.

I anticipate that my visit to the Center will be on:

Federal EIN

State Resale Number

About You

First Name

Last Name

Title

Password

You will use your email address and this password to log in to the site.

Confirm Password

Please confirm your password.

Subscriptions

Please add me to your email newsletter list.
Please add me to your postal mailing list.

About Your Store

Store Name

Owner Name

I am the store owner.

Store Address

City

State

Zip Code

Telephone

Fax

Mailing Address

Please only enter if different from your store address.

City

State

Zip Code

Trade Class
(select at least one)

Antique Shop		Bed/Bath
Buying Group		Candy/Foods
Cards/Stationery/Books		Children/Toys
Christmas Shop		College Store
Country Store		Craft/Hobby Shop
Department Store		Dinnerware/China/Glass
Drug Store		Florist/Garden Shop/Nursery
Furniture		Gift Baskets
Gift Store		Gourmet/Kitchen
Hardware		Home Based Business
Hospital Shop		Interior Decorator
Jewelry		Ladies Specialty Shop/Boutique
Luggage/Leather Goods		Mail Order
Manufacturer		Mass Merchandiser
Men's Furnishings		Online Store
Other		Party Plan/Catalog/Premium
Restaurant/Hotel/Museum		Souvenir/Resort

© 2008 Northeast Market Center
1000 Technology Park Drive, Billerica, MA 01821, (800) 435-2775, (978) 670-6363 tel, (978) 670-6364 fax