Attendee Registration

ATTEND

retailer registration

Simply fill out the below registration form. If your attendee list exceeds four, please email a.wilson@rpgglobal.com with a full list of attendees to complete your registration.

Contact First & Last Name Enter First & Last Name

Required

Contact Email: Enter Email

Required

Location Name: Enter Location Name

Required

Location Address: Enter Location Address

Required

City: Enter City

Required

State: Enter State

Required

Zip code: Enter Zip

Required

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Number of Retail Locations: Enter Number of Retail Locations

Required

Number of Attendees Enter Number of Attendees

Required

Name of Attendees: Enter Attendee 1

Required

Contact Phone: Enter Phone Number

Required

Contact Fax: Enter Phone Number

Required

Enter Attendee 2

Required

Enter Attendee 3

Required

Enter Attendee 4

Required

Type of Attendee:

Required

PREMIER Member

Member

Prospective Member