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Merchant
Agreement
Form
Your
location is "B" ________
"C" _________ Start
date:_________
Rent
Paid: $__________
Deposit Paid:
$__________
Our
signatures bind this
agreement and the
understanding of the
policy
guidelines.
IN
Retail Mert. 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 standard 10%
will occur unless marked
firm!
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:__________________________
The
contents of your booth
(B) or case (C) are very
important to Exit 76.
Please provide (below) a
brief physical
description of the
inventory that will be
merchandised in your
area. This is important
information for Exit 76
to determine the correct
location for you. If
your merchandise mix
changes over time
relocation will be
mandated.
My
"B" "C" (circle correct
location) will
be:
antique
area (being 90%
antiques): yes /
no
(If
"700" series sign-up
present additional
guidelines)
craft
area: yes /
no
Brief
description of contents
please:
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.
Lamps
are limited to two per
regular size
booth!
Simple
put surge protectors
only!
Checkpoint
Security Systems is
installed @ Exit 76
Antique Mall to protect
your merchandise. The
tags can be with or with
out your "B" or "C"
number at a costs of 10
cents per
tag.
Regular
price tags (string &
sticky) are available at
the front
counter!
Reviewed
by_______________________
Antique
Manager
Approval_______________________
Revised
8-09
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