Application Form

As in the past this festival will be locally and nationally advertised. Please complete and return this form as soon as possible so your name will be in the advertisements that we will be placing in the papers.  We hope to see you June 9th, 2012.

PLEASE RETURN BY:  MARCH 31, 2012


(Please print or type)

NAME:______________________________________________________

BUSINESS:___________________________________________________

ADDRESS:___________________________________________________

CITY:_____________________STATE_______ZIP_________________

PHONE:________-_______-____________CELL______-_______-_______

E-MAIL:_____________________________FAX:_______________

SIGNATURE:________________________________________

OUTSIDE BOOTH SIZE:

10' X 10'                     ($60)
10' X 20'         ($90)

TENT BOOTH SIZE:

10’ X  10’                    ($70 )
10’ X  20’                   ($140)

PLEASE INDICATE THE SIZE NEEDED.

TO RESERVE YOUR BOOTH FROM LAST YEAR WE MUST RECEIVE YOUR PAYMENT PRIOR TO  MARCH 31, 2012

Make checks payable to:
NICHOLS AND DIMES ANTIQUES
P.O. BOX 153
ELIZABETHTOWN, IN. 47232

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FOR NICHOLS & DIMES ANTIQUES USE ONLY:
Date received:_________________Check #_______________