MART REGISTRATION FORM
If any fields are left blank, your form will be returned to you unprocessed. 

NUMBER OF TABLES REQUIRED @ $15/per: ..................................................  __________

EXTRA SPACE (4'x8') NEEDED (FOR FREE-STANDING ITEMS) @ $10/per: ....  __________

ELECTRICITY NEEDED? (Circle one)  ............  Yes / No

  1. __________________________________________
  2. __________________________________________
  3. __________________________________________
  4. __________________________________________

List the NAMES of the people who'll be Working in these spaces, (above).
 

________________________________________________________
Your Name (Responsible party)

________________________________________________________
Your Signature (Responsible party)

________________________________________________________
Your Daytime Phone# (Responsible party)

 

MART DISCLAIMER 

AMICA, BEING A NON-PROFIT ORGANIZATION, CANNOT AND DOES NOT ASSUME ANY RESPONSIBILITY FOR LOSS OR DAMAGE OF ANY NATURE WHATSOEVER TO ANY ITEM OR OBJECT OFFERED FOR SALE OR DISPLAYED DURING THE COURSE OF THE ANNUAL AMICA CONVENTION.  AMICA CARRIES NO INSURANCE FOR THIS PURPOSE AND SUGGESTS THAT MART PARTICIPANTS PROVIDE THEIR OWN COVERAGE.

            ALL PERSONS PARTICIPATING IN THE MART DO SO AT THEIR OWN RISK AND AGREE TO HOLD AMICA, ITS MEMBERS, OFFICERS, AND THE HOTEL HARMLESS IF THERE IS A LOSS OR PERSONAL INJURY OF ANY KIND.

            I HAVE READ AND UNDERSTAND THE FOREGOING DISCLAIMER AND ACCEPT ITS TERMS AS A CONDITION OF MY PARTICIPATION IN THE MART

SIGNED (Responsible party): _______________________________________DATE_____________

 

©2013 AMICA International
Automatic Musical Instrument Collectors' Association,
a 501(c)(3) tax-exempt organization.

Page last Updated: Sunday, August 18, 2013 05:45 PM
 



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