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Merchant
Agreement
Form
Your
location is "B" ________
"C" _________ Start
date:_________
Rent
Paid: $__________ Paid
by check
No.__________
Our
signatures bind this
agreement and the
understanding of the
policy
guidelines.
IN
Retail Merch. Cert.
#_______________________________
--name
must match-- Print
____________________________
Social
Security
#______________________
of owner
--
Sign Name
________________________
Date
___________________________
Exit
76 Representative
_____________________________
Questions?
Layaway
Program: Yes /
No
Merchant
to Merchant Discounts
& Negotiation @ 10%:
Yes / No
If
NO, it is agreed that on
event weekends (5 times
a
year-March-May-July-October-December)
a standard 10%
will occur unless marked
firm or under $20.00
payable by cash or
check!
Tags
are kept on file till
the first of the next
month.
Write
in address and phone
number below:
Address:
Street______________________________________________________
City________________________________________
State_______
Zip__________
Home
phone:__________________________
Work
phone____________________
Cell
phone:
_____________________________
Email
address:__________________________
(When
you want to set up the
free On-Line sales
information please read
the instructions
contained in our
Policy
Guidelines.)
For
the QUICK REFERENCE
PROGRAM please circle 2
per booth or
case:
ADVERTISING
ART/PRINTS
ARCHITECTURE/SALVAGE
BASKETS/WICKER
BOOKS/MAGAZINES/RECORDS
CERAMICS/DISHES/POTTERY
CLOTHING/TEXTILES
COUNTRY/PRIMITIVES
CURRENCY COINS
CRAFTS/HOLIDAY
COLLECTIBLES DOLLS
FURNITURE GLASS/POTTERY
INDIAN ARTEFACTS JEWELRY
KITCHEN WARE KNIVES
LIGHTING/LAMPS
MILITARY/POLITICAL
ORIENTAL SPORTS
MEMORABILIA TIME PIECES
TOOLS TOYS
EXIT
76 ANTIQUE MALL FIRE
CODE
The
Exit 76 policy on
electrical cords for
lamps, ceiling lights
& appliances is the
wire must be a direct
plug into the wall
socket or into a surge
protector with NO
connectors or clamps and
for sure NO tape of any
kind holding the wiring
together. NO extension
cords of any type are
allowed and no surge
protectors can be
connected or "GFI" or
power strips with a
circuit breaker. First
violation is a warning
with any future
violation resulting in a
$50.00 charge to your
monthly print out per
violation.
Checkpoint
Security Systems is
installed @ Exit 76
Antique Mall to protect
your merchandise. The
tags will be with out
your location number at
a costs of 10 cents per
tag.
Regular
price tags (string &
sticky) are available at
the front
counter!
Please
also review our
Policy
Guidelines.
Reviewed
by_______________________
Antique
Manager
Approval_______________________
Revised
8-09
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