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Office Use Only Amt.
Pd.:____________________ |
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Office Use Only
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Name (please print ):
____________________________________________________________________
Texas Sales Tax ID # (required):
___________________________________________________________
Company
Email or Web
Name:
____________________________________Address:___________________________________
Mailing Address:
_______________________________________________________________________
Town: ____________________________________ State: __________ Zip:
_______________________
Phone Day: ___________________ Night: ________________________
Cell:____________________
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Nature
or Type of Merchandise to be sold (to be included in an Old Sorehead Trade
Days Directory): Other (please list): ___________________________________________________________________________ |
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Please
circle any of the following that apply to you: |
Limited
Electrical Outlets
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I will abide by the guidelines set out in the Old Sorehead Trade Days General Information Sheet. |
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Return To: |
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Signature |