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Baton Rouge Antique & Relic Show Registration Form
May 2, 2020 Name: ___________________________________________________________________________________ Address: _________________________________________________________________________________ City: __________________________________________ State: ________ Zip code: ___________________ Email Address: _______________________________________Phone:______________________________ Table Cost before April 18, 2020 Quantity Total $ $15.00 for 6' _______________ _______________ $20.00 for 8' _______________ _______________ Electricity is $5.00 extra per table. _______________ Total $ _______________ Table Cost after April 18, 2020 Quantity Total $ $20.00 for 6' _______________ _______________ $25.00 for 8' ______________ _______________ Electricity is $5.00 extra per table. _______________ Breakfast snack and coffee are included Total $ _______________ Possible $5.00 lunches as long as they last. How many? ________ Make Check Payable To: Friends of Port Hudson Mail To: FOPH / Attn: Maryanne - 4288 Cooper Lane - Jackson, LA 70748 Contact Maryanne 9am - 5pm: 225 235-9355 ronldmac@gmail.com for dealer table assignment CONTACT: John Potts for further details 8am-10pm- 225 937-2782 Email brcwrt@att.net Website www.brcwrt.com |
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