The Greater Los Angeles Regional

Greater Los Angeles Regional Pre-Registration Form
FOR NAWCC MEMBERS ONLY
Pre-Registration Ends January 20, 2011

Name:	NAWCC# :
Address:
City:	State:	ZIP:
Phone:
Email:	For sellers, do you primarily sell: Clocks Watches
California Resale* #:	For sellers, do you primarily sell: Clocks Watches
* All Table Holders must have a valid California Resale Number at the time of the Regional. The California State Tax Franchise Board will send you an application by calling 1-800-400-7115. The California Seller's Permit Application can also be obtained online by clicking on this link: http://www.boe.ca.gov/pdf/boe400spa.pdf Tables will be assigned on a first paid basis and must have a display of horological items. Fakes of brand name items protected by copyright cannot be displayed, offered or traded. Only NAWCC members immediate family are admitted. NAWCC Convention protocol, rules and California State tax laws apply to this regional convention. A Valid California Reseller Permit number must be available prior to entering the mart room. BADGES AND TABLES ARE NON-TRANSFERRABLE Note: Multi-table holders - No More Than Two Sellers Per First Table, One Seller Per Table Each Additional Table.

Special Requests:

Item	Number	Fee Each		Totals
Adult Preregistrations* :		$30.00	Total $:
Child Pre-Registrations:		$5.00	Total $:
Mart Tables:		$55.00	Total $:
Wall Table:		$70.00	Total $:
Banquet:		$35.00	Total $:
Electricity (per Hookup, Wall Tables Only)		$25.00	Total $:
			Total Remitted

* Registration Fees at the Regional will be $35.00. TO PAY BY CREDIT CARD THROUGH PAYPAL FILL OUT FORM AND PUSH THE SUBMIT BUTTON! PayPal works best with the Internet Explorer and MAY NOT WORK with other browsers. Please check your PayPal account to insure payment has actually been made. Thank you. TO PAY BY CHECK - print out this form, include a check payable to "Greater LA Regional" and Mail to: Greater LA Regional 10432 Falcon Ave. Fountain Valley, CA 92708 Once you have printed this form, you can close this page. Tables reserved by groups must be received on one form. Registrations received by January 20, 2011 will be acknowledged. NO-REFUND after this date.