42 ND ENGINE 260 ANTIQUE FIRE APPARATUS SHOW & MUSTER Saturday, September 7, 2013

1. REG. # 42ND ENGINE 260 ANTIQUE FIRE APPARATUS SHOW & MUSTER Saturday, September 7, 2013 FLEA MARKET REGISTRATION FORM THE SALE OF MUGS, OTHER THAN THOSE FOR SALE BY ENGINE 260 IS PROHIBITED! All proceeds will be donated to the Milford Handicapped Children’s Program. Please print clearly the following information. NAME / BUSINESS : _____________________________________________________________ ADDRESS : __________________________________ CONTACT : _______________________ CITY : ____________________________ STATE : ______________ ZIP : _______________ PHONE : ______________________ E-MAIL : ______________________________________ CONNECTICUT TAX REGISTRATION NUMBER : _________________________________ Brief description of items to be sold : _______________________________________________ Please reserve the following flea market space : (check the appropriate box below) PRIVATE SPACE____@ $ 75.00 Number of spaces COMMERCIAL SPACE ____ @ $ 125.00 Number of spaces Amount enclosed = $ _____________ PLEASE MAKE CHECKS PAYABLE TO : ENGINE 260 Inc. MAIL REGISTRATION FORM WITH PAYMENTTO: ENGINE 260 INC.. FLEA MARKET COMMITTEE NO REFUNDS AFTER SEPTEMBER 1, 20124 FLAX MILL TERRACE MILFORD, CT 06461 Contact us at (203)874-2605 or e-mail: Engine260@aol.com for further information Set up time :7 A.M. on Saturday, September 8, 2012 Flea market opens - 8:30 A.M. Requirements: We provide the space only. You must provide tables, chairs, tents, etc. ONLY ONE VEHICLE PER SPACE WILL BE PERMITTED. Directions: A map will be sent along with confirmation of your space. *** For your convenience, a complete refreshment area will be available at the muster site. *** *** ALL ENTRIES MUST BE RECEIVED BY AUGUST 24, 2013 *** CONFIRMATION OF YOUR REGISTRATION WILL BE MAILED TO YOU UPON RECEIPT OF YOUR REMITTANCE