Heritage Markets Shows

Buyer Registration Form
(Buyers must be affiliated with a retail business that resells products sold at our markets.)

BUSINESS INFORMATION
(Attach 3 forms of business identification, e.g. voided business check, business card or letterhead, copy of re-sale tax certificate, or copy of Federal ID Number.)

BUSINESS NAME: ______________________________________________

OWNER’S NAME: ______________________________________________

BUSINESS ADDRESS: ___________________________________________

CITY:_______________________STATE: ______ZIP: __________________

BUSINESS TELEPHONE:____________________________

SALES TAX NUMBER: _________________________

E-MAIL ADDRESS : ___________________________

NAMES OF BUYERS ATTENDING
(Attach 1 form of acceptable EMPLOYEE identification for each buyer listed below — payroll check stub, copy of W-2, 1099, or imprinted business card.)

_______________________________ _________________________________

YOU MAY REGISTER ON-SITE AT ANY OF THE HERITAGE MARKETS OR YOU CAN PRE-REGISTER.

PRE-REGISTRATION ENDS 30 DAYS PRIOR TO ANY GIVEN MARKET. You must submit registration material by this deadline to recieve badges before any given show..

Heritage Markets issues three-year passes to qualified businesses, enabling buyers to shop all Heritage Markets events during that time without having to re-register for each market. Keep your pass in a safe place. If lost, there is a fee to replace it.

Please print this form and mail or fax it, along
with all required identification, to:

Heritage Markets
P.O. Box 389
Carlisle, PA 17013
FAX (717) 258-0265

For additional information, please call (717) 249-9404.