Mega Market Registration Form - Wurtsboro Antique Market

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Name

First

Last

(not DEPOSIT Registration

Business Name (not required)

Phone Number

Email Address

Address

Address Line 1

Address Line 2

City

State

Zip Code

Additional Registration Notes

1 DAY BOOTH HOLD

Price: $50.00

Deposit for just one day. If you want more than one space please use the drop down menu. Please contact us with which day you plan on attending.

2 DAY BOOTH HOLD

Price: $100.00

Deposit for 2 Days. If you want more than one space please use the drop down menu.

DEPOSIT

Card

Name on Card