Retailer Pre-Registration If you prefer to download and fill out a printed application by hand, please download the PDF version. "*" indicates required fields Choose one of the following* Yes, my business is a SENPA MEMBER - FREE entrance to all functions(FULL ACCESS) I am paying retailer membership dues with this registration $149 for SENPA membership(FULL ACCESS) Check here if this is your first time attending SOHO Events (registration must be received by 9/15/2025). Retail Business Information Proof of business may be required.Store Name:*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone:*Fax:Email:* *requiredStaff Members *Minimum of 1 Entry RequiredEnter In Your Staff (including yourself) Information - Click add entry to enter your staff member information. Name Badge Access Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Special Services Check here if an attendee requires special accommodations to fully participate. Please describe their needs and their name below: Special Services Description3% Processing Fee: Price: $0.00 Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged. Δ