WHOLESALE ALLEY, INC.
308 Berrier Avenue
Lexington, North Carolina 27292
(336)-238-5404


VENDOR REGISTRATION FORM


COMPANY NAME: ______________________________________________

ADDRESS: ___________________________________________________

CITY: _____________________________STATE: ______ZIP: __________

PHONE: _____________________________________________________

TAX NUMBER:_________________________________________________

EMAIL ADDRESS:_________________________________________________

OWNER (PRINT): ______________________________________________


MERCHANDISE: _______________________________________________

EMPLOYEES: _________________________________________________

BOOTH NUMBER: ______________________________________________

REGISTRATION FEE: NON-REFUNDABLE $_____________


I ___________________________________ (Tenant) agree that the above information is correct to the best of my knowledge. The Tenant ______________________________ agrees to provide Wholesale Alley with current information and will notify Wholesale Alley of any changes in company name, address, phone numbers, tax numbers, and new employees for reason of contact and availability.

If at any time Vendor fails to notify Wholesale Alley of any changes; Tenant cannot hold Wholesale Alley responsible for the following: construction faults, materials, liabilities, taxes, fire and water damages, and loss of building and contents due to failure to pay rent if this should occur.

Signature: ______________________________________

Date: _______________________________________________