SPONSORED BY: The Piedmont Bottle & Pottery Club
WHEN: dealer setup 6:30am, public 8:00am-2:00pm Saturday April 21, 2012
WHERE: SALISBURY CIVIC CENTER, 315 S. Martin Luther King Ave. (also called 315 S. Boundary St.), Salisbury, NC 28144.
Directions via Mapquest: Click Here then enter your full address under "Location", then click "Get Directions".
INFO: For Dealer contract and show packet contact show chairman John Patterson at (704) 636-9510 or Email firstname.lastname@example.org or visit the club web page www.antiquebottles.com/piedmont
AMOUNT ENCLOSED $ _________
DEALER NAME: _____________________________ TELEPHONE: _________________
STREET ADDRESS ________________________________________________________
CITY _________________________________ STATE _______ ZIP ________
EMAIL ADDRESS: __________________________________________
LOCATE ME BESIDE THESE OTHER DEALERS: __________________________________
SPECIAL REQUESTS (Electric outlet, along wall, etc): ______________________
Signature agreeing not to hold the Piedmont Bottle & Pottery Club or Citizen's Center responsible for any accidents to people or vehicles, or for any broken or stolen merchandise:
____________________________________________________Make checks payable to PIEDMONT BOTTLE CLUB and mail payment with this completed contract to: John Patterson, 412 S. Baldwin Ave, Spencer, NC 28159