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2. Applicant Name*
3. Email Address (Optional)
5. Applicant's Address*
7. City
8. State
9. Zip Code
11. Applicant's Phone Number*
13. Location of Sale if other than application address*
15. Date(s) of Sale: Check all that applies
17. Thursday

    1. May 18
18. Friday

    1. May 19
19. Saturday

    1. May 20
20. Sunday

    1. May 21
22. Electronic Signature Agreement

    I affirm that the property/items to be sole is my own personal property and was either acquired or consigned for purposes of resale.

    1. I agree.
24. Electronic Signature
25. Date Signed
    Date Signed
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

* indicates a required field