2007 Buyers Guide to Licensed programs
AUTHORIZATION

Licensor/Licensing Agent name

Address

City State Zip

Country

Phone Toll-free phone
Fax Toll-free fax
Web address **E-mail address to be printed in the directory

For our records and if we have questions,
Name of contact person		 Title

Contact person's e-mail address   This e-mail address will NOT be printed in the directory
 
Authorization for publication
I hereby authorize Home Accents Today to publish listings indicated on this form in the upcoming supplement, The Buyers Guide.

 

Name of Licensor/Licensing Program
Please submit a separate online form for each different licensing program.
  

Agent handling program, if different from program name.
 Note: Licensing Agents should submit a separate online form for each licensee, listing the licensees, vendors and product categories supplied.
  

VENDOR SUPPLYING PRODUCT TO RETAILERS
Vendor #1 name
Vendor #1 headquarters - city
Vendor #1 headquarters - state
  
Vendor #1 headquarters - country
Vendor #1 contact name
Vendor #1 contact email/phone/fax
PRODUCT CATEGORIES Please check ALL products Vendor #1 supplies
  Area rugs
  Lamps & lighting
  Candles, home fragrance, personal care
  Decorative accessories
  Garden decoratives 		  Holiday, seasonal decoratives
  Permanent botanicals
  Soft goods, textiles
  Tabletop
  Wall decor

VENDOR SUPPLYING PRODUCT TO RETAILERS
Vendor #2 name
Vendor #2 headquarters - city
Vendor #2 headquarters - state
Vendor 2 headquarters - country
Vendor #2 contact name
Vendor #2 contact email/phone/fax
PRODUCT CATEGORIES Please check ALL products Vendor #2 supplies
  Area rugs
  Lamps & lighting
  Candles, home fragrance, personal care
  Decorative accessories
  Garden decoratives 		  Holiday, seasonal decoratives
  Permanent botanicals
  Soft goods, textiles
  Tabletop
  Wall decor

VENDOR SUPPLYING PRODUCT TO RETAILERS

Vendor #3 name
Vendor #3 headquarters - city
Vendor #3 headquarters - state
Vendor 3 headquarters - country
Vendor #3 contact name
Vendor #3 contact email/phone/fax
PRODUCT CATEGORIES Please check ALL products Vendor #3 supplies
  Area rugs
  Lamps & lighting
  Candles, home fragrance, personal care
  Decorative accessories
  Garden decoratives 		  Holiday, seasonal decoratives
  Permanent botanicals
  Soft goods, textiles
  Tabletop
  Wall decor

VENDOR SUPPLYING PRODUCT TO RETAILERS
Vendor #4 name
Vendor #4 headquarters - city
Vendor #4 headquarters - state
Vendor #4 headquarters - country
Vendor #4 contact name
Vendor #4 contact email/phone/fax
PRODUCT CATEGORIES Please check ALL products Vendor #4 supplies
  Area rugs
  Lamps & lighting
  Candles, home fragrance, personal care
  Decorative accessories
  Garden decoratives 		  Holiday, seasonal decoratives
  Permanent botanicals
  Soft goods, textiles
  Tabletop
  Wall decor

VENDOR SUPPLYING PRODUCT TO RETAILERS
Vendor #5 name
Vendor #5 headquarters - city
Vendor #5 headquarters - state

Vendor #5 headquarters - country

Vendor #5 contact name
Vendor #5 contact email/phone/fax
PRODUCT CATEGORIES Please check ALL products Vendor #5 supplies
  Area rugs
  Lamps & lighting
  Candles, home fragrance, personal care
  Decorative accessories
  Garden decoratives 		  Holiday, seasonal decoratives
  Permanent botanicals
  Soft goods, textiles
  Tabletop
  Wall decor

VENDOR SUPPLYING PRODUCT TO RETAILERS
Vendor #6 name
Vendor #6 headquarters - city
Vendor #6 headquarters - state
Vendor #6 headquarters - country
Vendor #6 contact name
Vendor #6 contact email/phone/fax
PRODUCT CATEGORIES Please check ALL products Vendor #6 supplies
  Area rugs
  Lamps & lighting
  Candles, home fragrance, personal care
  Decorative accessories
  Garden decoratives 		  Holiday, seasonal decoratives
  Permanent botanicals
  Soft goods, textiles
  Tabletop
  Wall decor

If you use more than six vendors for a specific licensor/licensing program, submit additional online forms for the additional vendors.

For each separate licensor/licensing program or agents handling the program, submit additional online forms also.

Note:  The editors of Home Accents Today may condense any data received  to  fit print guidelines.