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JAMESTOWN FLEA MARKET
712 SOUTH STERLING STREET
MORGANTON, NC 28655
828-584-4038

APPLICATION FOR PERMANENT SPACE

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COMPANY NAME

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DEALER'S NAME

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      TAX ID#                              DRIVER’S LICENSE#                  

ADDRESS __________________________________________________

CITY________________________ STATE___________ ZIP__________

PHONE ______________________ CELL_______________________

NUMBER OF SPACES NEEDED__________________

SPECIAL NEEDS_____________________________________________

ITEMS TO BE SOLD__________________________________________

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***APPLICANT HAS READ ALL RULES ON REVERSE SIDE AND AGREES TO ABIDE BY THEM.

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SIGNATURE                                                      DATE

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