| NAME_____________________________________________________________________ ADDRESS__________________________________________________________________ TELEPHONE (DAY) ________________________ (EVE)____________________________ DOING BUSINESS AS (dba) ___________________________________________________ TYPE OF MERCHANDISE _____________________________________________________ WILL YOU BE CAMPING AT YOUR TRADING SITE? _____________________________ TYPE OF LODGE / TENT? (MODERN / PRIMITIVE? ______________________________ HOW MANY FOLKS IN YOUR PARTY? _________________________________________ ADDITIONAL COMMENT_____________________________________________________ Signature ________________________________Date ______________ PD ________ |
| YOU MAY PRINT THIS OUT FILL IT OUT & MAIL IT IN! TO: Longbranch Buckskinners Inc 72 Falls Mountain Court Dahlonega, GA 30533 |
| REGISTER FOR OUR SHININ' TIMES '03 RENDEZVOUS! |
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| REGISTRATION FOR THE ENTIRE WEEKEND EVENT --- $40. FOR SETUP $10. FOR BLANKET TRADING $10. PRIMITIVE CAMPING |
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| EMAIL US! |