Name
Company
Street Address
Street Address 2
City, State, Zip
Primary Phone
Cell Phone
F.A.X. Phone
Email
PA Sales Tax #
Yearly Dues $20
Number of Tables One 8' Table is $75
Total Enclosed $
List Items for sale (be specific)

When complete - print - include check - and mail to:

Valley Forge Gun Collectors, Inc.
P.O.  Box 100
Berwyn, PA  19312

                    Accepted By: ___________________________ Date______________
                                             Show Promoter's Signature