Section 1
Business Name:  _______________________________________________________________________
Contact Name:  ________________________________________________________________________
Address:  _____________________________________________________________________________
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Phone:  _______________________________________________________________________________
Business Hours:  ______________________________________________________________________
E-mail/Website:  ______________________________________________________________________

Section 2

Business Focus (please check all that apply)

Comics        o       RPGs            o      Cards/CCGs         o

Board Games   o       Miniatures      o      Other:  ________   o

Section 3

Space Needed
	o    10' x 15'      o    20' x 15'       o    30' x 15'

Section 4
Special Considerations/Questions/Concerns
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
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