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To be a show dealer, PRINT this page, fill it out, and send it to:

Tyson Wells,                                                                   Show Office Phone: (928) 927-6364
P.O. Box 60, Quartzsite, AZ 85346                                For R.V. Office: (928) 927-6365

Show Dealer Rental Application For Rock and Gem Show    Jan 2 - 11, 2009

Reserve for: Name (print clearly)_________________________________________ Phone:_________________

Address:____________________________________________________________________________________

City:________________________________________ State:___________________ Zip:___________________

How Many Spaces?
(Each Space is 14 ft. along the aisle by 26 ft. deep.)

			Totals
_______	SPACES WITH NO HOOKUPS	$120 each	$_______
_______	SPACES WITH WATER AND ELECTRICITY HOOKUPS(only)	$170 each	$_______
_______	SPACES WITH FULL HOOKUPS (rented only in pairs of two, with only one set of hookups per pair and only one R.V. allowed)	$370 per pair	$_______
_______	Number of pets (If you MUST bring a cat or dog to the show, a $10.00 permit per pet is required.)	$10.00 per pet	$_______
		TOTAL:	$_______

Note: Adjoining combinations of the above hookup categories are not geographically possible. When ordering 2 adjoining spaces, please specify: (CHECK ONE)

_____ side-by-side (28' aisle frontage x 26' deep)
_____ 2 back-to-back (14' x 52' pull-through for exposure on 2 aisles)

To help you visualize, all rows run parallel and are actually double rows arranged back-to-back, so that 2 back-to-back spaces form a pull-through from one aisle to the next. (Each of 24 rows has #1 through #34 spaces.) Orders confirmed by mail. Refunds possible on cancellations made prior to January 1.

FULL PAYMENT required with application.
Note: All prices include tax.
Make payment to: Tyson Wells
 

CAUTION 2: Orders without full payment, merchandise listed, personal name (below) will be returned. 


Product Description:

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

PRINT YOUR PERSONAL NAME (if not the same as on top line):


_______________________________________________________________________________

LAW: Required by Arizona: Sales tax license (good for life); by Town of Quartzsite: Selling permit (good 1 year). Obtain both applications and order both in advance from, Town of Quartzsite, P.O. Box 2812, 85346; Phone 928-927-4333; or stand in line to buy both from representatives at show office upon arrival. Cost at press time: $35.00 and $50.00 respectively.

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