CBA Aspiring Retail Magazine

Request to receive a CBA ID number to register for the International Christian Retail Show

You can request a CBA ID number if you fit one of the following categories:
- Retailer
- Prospective Retailer
- International Retailer: buying for my store
- International Supplier: distributing, rights negotiation
- Distributor: arranging distribution agreements with suppliers
- Vendor: providing a product or service to exhibiting companies
- Auxiliary Professional: consultant, literary agent, CBA member author, CBA member artist
- Auxiliary Professional: consultant, agent, author, artist, publicist, etc. (Must be a CBA member).

Please provide the following information to request a CBA ID number:
* Indicates a required field.

First Name*

Last Name*

Title

Company Name *

Address 1*

Address 2

City *

State *

ZIP/Postal Code *

Country

Phone * (i.e. 123-456-7890)

Fax

E-mail Address *

Website

STEP 2 What type of business do you have?

STEP 3 What is your business reason for attending the convention?