MAIN COMPANY INFORMATION
Company Name:
Mailing Address:
P.O. Box:
City:
State/Province:
Choose...
NOT APPLICABLE
Alabama
Alaska
Alberta
Arizona
Arkansas
Australian Capital Territory
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New South Wales
New York
Newfoundland
Newfoundland
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Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Queensland
Rhode Island
Saskatchewan
South Australia
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Victoria
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Zip/Postal Code:
Country:
Choose...
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Barbuda
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Corsica
Costa Rica
Cote D’Ivoire
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia, Republic of
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Dem Peoples Rep
Korea, Republic of
Kuwait
Kyrgystan
Laos
Latvia
Lebanon
Lesotho
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Madeira Islands
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
Moldova
Monaco
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Christopher
Saint Lucia
San Marino
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Korea
Spain
Sri Lanka
St Christopher & Nevis
St Helena
St Kitts
St Pierre & Miquelon
St Vincent & Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tristan De Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Is
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican city
Venezuela
Vietnam
Virgin Islands
Wallis & Futuna Islands
Western Samoa
Yemen, Republic of
Zaire
Zambia
Zimbabwe
Company Phone:
Company Fax:
General Company E-mail:
Company Web Site:
(beginning with "http://")
KEY CONTACT INFORMATION
Enter the Key Contact for your company. The Key Contact is the primary contact for your
company and their mailing address MUST be the same as the mailing address for the qualified
company. This is the person authorized to make revisions to the qualified company record
and is the first point of contact if any questions arise
Once qualified, the Key Contact receives a Username
and Password that enables him/her to log into the Buyer Management section of this site,
and add names to the company record. Each additional person registered will then receive
a "Registration Confirmation" e-mail containing their own unique Username and Password.
First Name:
Last Name:
Title:
Phone:
Fax:
E-mail:
APPA/Global Pet Expo/PIDA do not make email information available to
members or outside vendors. It is solely for the purpose of registration
confirmation and communication of event information. A confirmation of this
submission will be sent to the Key Contact's e-mail address.
REFERRALS
Did a distributor refer you to Global Pet Expo? If so please provide his/her name and company so that they may receive credit for your attendance.
Salesperson:
Company Name:
ADDITIONAL REQUIRED INFORMATION
How did you hear about Global Pet Expo?
Has your company sent representatives to Global Pet Expo within the last 3 years?
NO
YES,
most recent year
NOT SURE
REQUIRED: Two (2) Proofs of Business —
Please check the appropriate boxes below.
NOTE: Incomplete/insufficient documentation will
delay registration confirmation.
An appropriate invoice IS REQUIRED as well as one of the other
forms of business identification options listed below.
Upon submitting this form, fax the two (2) proofs of business along
with a cover sheet identifying you and your company to 203-532-0551.
Your registration will remain "PENDING" UNTIL the two required proofs
of business have been received and reviewed.
Upon review of the submitted documentation, you will receive an email
verifying the status of your registration, i.e., Accepted; Rejected; or Additional Information Required.
Global Pet Expo reserves the right to request additional business identification if deemed necessary.
BUSINESS CATEGORY (Select One)
Select ONE Category that best describes your company.
This is the business description that will appear on your show badge:
UPDATE PET CATEGORIES:
Please check the following categories for the items you purchase (check all that apply):
GROSS ANNUAL SALES:
Please indicate your company's gross annual sales:
Less Than $500,000
$500,001 - $2,000,000
$2,000,001 - $5,000,000
$5,000,001 - $10,000,000
Over $10,000,000
Please enter any comments or questions regarding your registration:
Questions? Contact Anne Rotberg at annie@americanpetproducts.org .