Charlotte Children's Market-Buyer Registration

Store Name _________________________________________________________________________________________________________________ Have you attended the Charlotte Children''s Show in the past? _______________________________________________________________________________ First Name ___________________________________________________ Last Name __________________________________________________ Address Line 1 __________________________________________________________________________________________________________________ Address LIne 2 __________________________________________________________________________________________________________________ City _______________________________________ State______________________________ Zip____________________________________ Email Address ___________________________________________________________________________________________________________________ Phone Number ___________________________________________________________________________________________________________________ Additional Phone Number ___________________________________________________________________________________________________________________ Names of Buyer's Guests ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ You can submit this application via email at info@charlottechildrensmarket.net, or mail to: Charlotte Children's Market Buyer's Application 800 Briar Creek Road, #AA-200 Charlotte, NC 28205