FOR NAWCC MEMBERS ONLY

Name:

 NAWCC# :
Address:
City: State: ZIP:
Phone:    
Email: For sellers, do you primarily sell:
Clocks Watches
California
Resale* #:

* 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, or use the link below.

You can use this link to obtain a copy of the Application for Temporary Seller's Permit.

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.

Additional Badge Names:
Name: NAWCC#:
Name:
 NAWCC#:
Name:
 NAWCC#:
Name:
 NAWCC#:
Name: NAWCC#:
Special Requests:
Item Number Fee Each   Totals
Adult Preregistrations* : $25.00 Total $:
Child Pre-Registrations: $5.00 Total $:
Mart Tables: $50.00 Total $:
Wall Table: $60.00 Total $:
Banquet: $35.00 Total $:
Electricity (per Hookup) $25.00 Total $:
      Total Remitted

* Registration Fees at the Regional will be $30.00.

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 and make check payable to "Greater LA Regional" and Mail to:
Greater LA Regional
6838 Tristen Lane N.W.
Bremerton, WA 98312

Tables reserved by groups must be received on one form.  Registrations received before January 23, 2009 will be acknowledged. NO-REFUND after this date.