2018 registration form

Here is the registration form to print and bring with you if you pay with Pay Pal. Or print, fill out and mail with your payment.

WAPELLO FLEA MARKET 2018

Mailing address: Wapello Flea Market PO Box 203 Smithshire, IL 61478

Questions can be directed to : info@wapellofleamarket.com or 559-WAPELLO (559)927-3556

Contact Name:____________________________________________________________________

Email:___________________________________________________________________________

Phone or Cell Number:______________________________________________________________

Address: _________________________________________________________________________

City: State: Zip: ____________________________________________________________________

Business Name:___________________________________________________________________

Type of Business (what will you sell):___________________________________________________

Sales Tax ID # (If you don’t have one please write none)____________________________________

Requested Site Number or Size: Prefer Inside or Outside:___________________________________

Setting up:

Thursday & Friday (8:00 am- 6:00pm), Saturday (6:00 am – ready by opening time 8:00am.)

Designated sites are not guaranteed until payment is received.

Make payments via-PayPal to: info@wapellofleamarket.com Check or USPS Money Order

No refunds. There will be a $30.00 return check charge.

If no Sales Tax number is provided, your product or services offered for sale are not subject to sales tax.

By signing registration form all information you provided above is correct and you understand the rules and regulations of the Wapello Flea Market.
Signature:______________________________________________________________________

Signature Date________________________________

PLEASE DO NOT WRITE BELOW

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WAPELLO FLEA MARKET

Date Paid: _____________________________

Site Number: _______________________ Amount: __________________________________

Notes: ___________________________________________________________________________________

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