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Port Gibson Antiques Market P. O. Box 607 Port Gibson, MS 39150 |
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Dealer Application
The undersigned dealer hereby makes application for space to exhibit antiques, collectibles, gift items, specialty foods, and other items approved by the management of the Port Gibson Antiques Market located at 210 Walnut Street, Port Gibson, MS. It is agreed that all sales will be conducted by the market employees and the responsibilities of the dealer will be to: · Stock/restock his/her space with properly tagged merchandise · Arrange the merchandise within his/her space · Maintain space in good order (which will require periodic dealer visits to market). |
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Name of Dealer: _____________________________________________________
D/B/A (if Applicable): _________________________________________________
Address: __________________________________________________________
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Business Phone: ____________________ Home Phone: ______________________
Fax Number: ______________________ E-Mail: __________________________
Tax ID# / SS#: ______________________________________________________
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# of Spaces Required: ________________ (Each space approximately 10FT x 10FT )
Length of Lease: _____________________
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Electricity Required: □ Yes □ No
Security Deposit / Deposit to Hold Space
$_______________________ ($150.00 per space) |
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Type of Merchandise to be displayed: The Port Gibson Antiques Market will require Dealers to maintain certain standards of merchandise quality. |
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Apply percentages to demonstrate the balance of merchandise to be displayed (example: Furniture – 50%; Accessories – 20%; Glass – 10%; Textiles – 10%; and Jewelry – 10%) |
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Antiques _________________________ Furniture _____ Other _____ |
Coins ___________________ |
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Collectibles ______________ |
Glassware ________________ |
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Fine Linens ______________ |
Stained Glass ______________ |
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Art ____________________ |
Porcelain _________________ |
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Decorative Accessories ______________ |
Pottery __________________ |
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Folk Art ________________ |
Jewelry __________________ |
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Crafts _________________ |
Specialty Foods _____________ |
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Gift Items _______________ |
China ____________________ |
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Clocks __________________ |
Books ____________________ |
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Rugs ___________________ |
Silver ____________________ |
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Other (Specify): _____________ ________________________ ________________________ |
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Notice to Applicants: While the staff of Port Gibson Antiques Market will exert every effort to protect dealer merchandise, we will not be responsible for any damage, theft, or loss of any merchandise. It is the dealer’s responsibility to obtain insurance to cover his/her merchandise. |
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Please sign application and return with deposit. Make check payable to Port Gibson Antiques Market. |
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Applicant’s Signature ____________________________ |
Date _____________ |
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Office Use Only ****************************
| Approved ________ |
Disapproved ________ |
| Deposit received: YES _______ | Amount $__________ |
| NO _______ | |
| Assigned Dealer #: ___________ | Assigned Space #: ___________ |