VIP Registration Information Form

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  • Required fields left blank
  • Duplicate email addresses
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  • Contact agreement left unchecked (Where is this?)
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Company Information

Website URL:
Phone Number*
Address Line 1*
Address Line 2
Postal Code*

Business Information

Business Type*
Industry *
Annual Sales*
Number of Location
Are you affiliated with a buying group or retailer associations?

Buyer Information

Please provide the information below, including information for any additional buyers you wish to add at this time.

Primary Contact Information

First Name*
Last Name*
Association Type*
Product Type *
Show All Product Types
We welcome new buyers with a valid sales tax permit to shop with us. what is it?
Please upload yours here

I agree to receive notices, advertisements, announcements, brochures and other information from Dallas Market Center, via mail, facsimile, telephone or email. I understand that my express permission to fax, telephone or email me such notices and other information will continue and have no date of expiration.