Dealer Application

Dealer Information:

NAME:                 ___________________________

ADDRESS:          ___________________________

CITY/STATE:      ___________________________

ZIP:                       ___________________________

PHONE:                ___________________________

PA TAX ID#:        ___________________________

FFL#:                    ___________________________

SHOW & DATE:

NUMBER OF TABLES:    ___________________________

TOTAL AMOUNT DUE:    ___________________________

I will abide by all federal, state, local and show rules - X

Cost of Tables:  ALL 8 FOOT TABLES

Allentown            $55

Bloomsburg         $45

Lebanon               $45

Macungie             $45

Split Rock            $55

Wind Gap            $45

Mail To:

Eagle Arms Productions

9331 Hamilton Boulevard

Breinigsville, PA 18031