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Merchant
Agreement
Form
Your
location
is "B"
________
"C"
_________
Start
date:_________
Rent
Paid:
$__________
Paid
by
check
No.__________
Our
signatures
bind
this
agreement
and
the
understanding
of the
policy
guidelines.
IN
Retail
Mert.
Cert.
#_______________________________
--name
must
match--
Print
____________________________
Social
Security
#______________________
of
owner
--
Sign
Name
________________________
Date
___________________________
Bloomington
Antique
Mall
Representative
_____________________________
Questions?
Layaway
Program:
Yes /
No
Merchant
to
Merchant
Discounts
&
Negotiation
@ 10%:
Yes /
No
If
NO, it
is
agreed
that
on
event
weekends
(5
times)
a
standard
10%
sale
will
occur
unless
marked
firm
or
under
$20.00
payable
by
cash
or
check!
Tags
are
kept
on
file
till
the
first
of the
next
month.
Write
in
address
and
phone
number
below:
Address:
Street______________________________________________________
City________________________________________
State_______
Zip__________
Home
phone:__________________________
Work
phone____________________
Cell
phone:
_____________________________
Email
address:__________________________
(When
you
want
to set
up the
free
On-Line
sales
information
please
read
the
instructions
contained
in our
Policy
Guidelines.)
For
the
QUICK
REFERENCE
PROGRAM
please
circle
2 per
booth
or
case:
ADVERTISING
ART/PRINTS
ARCHITECTURE/SALVAGE
BASKETS/WICKER
BOOKS/MAGAZINES/RECORDS
CERAMICS/DISHES/POTTERY
CLOTHING/TEXTILES
COUNTRY/PRIMITIVES
CURRENCY
COINS
CRAFTS/HOLIDAY
COLLECTIBLES
DOLLS
FURNITURE
GLASS/POTTERY
INDIAN
ARTEFACTS
JEWELRY
KITCHEN
WARE
KNIVES
LIGHTING/LAMPS
MILITARY/POLITICAL
ORIENTAL
SPORTS
MEMORABILIA
TIME
PIECES
TOOLS
TOYS
BLOOMINGTON
ANTIQUE
MALL
FIRE
CODE
The
Bloomington
Antique
Mall
policy
on
electrical
cords
for
lamps,
ceiling
lights
&
appliances
is the
wire
must
be a
direct
plug
into
the
wall
socket
or
into a
surge
protector
with
NO
connectors
or
clamps
and
for
sure
NO
tape
of any
kind
holding
the
wiring
together.
NO
extension
cords
of any
type
are
allowed
and no
surge
protectors
can be
connected
or
"GFI"
or
power
strips
with a
circuit
breaker.
First
violation
is a
warning
with
any
future
violation
resulting
in a
$50.00
charge
to
your
monthly
print
out
per
violation.
Please
also
review
our
Policy
Guidelines.
Reviewed
by_______________________
Antique
Manager
Approval_______________________
Revised
12-2010
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