Attendee Details

Please fill in the following details about yourself.

The registration fee to participate in the GALA program is $600 for retailers/$1200 for manufacturers. Travel expenses are not included in the registration fee. 

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* 1. First and Last Name

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* 2. Business/Company Name 

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* 3. Business/Company Address

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* 4. Affiliate Region

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* 5. Email Address to best contact you

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* 6. Please enter your cell phone number below.

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* 7. Are you sponsored by a manufacturer or affiliate?

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* 8. Would you like to opt in to text alerts for quick program updates?
If you are notified that you have been selected to participate, you will receive a text message from us within one business day requesting your permission to opt in. Please follow the instructions on the text message. If you do not receive a text message, please email Chris Conner (conner@hpba.org).
*Message & Data Rates May Apply.

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