MIDDLE GEORGIA COIN CLUB COIN SHOW
Georgia National Fairgrounds, Perry, Georgia JANUARY 27-29, 2017
COIN DEALER CONTRACT
Please accept my application for ____ 30” x 8’ Bourse tables at $210.00 each or $375.00 for Corner Table (2) or $600.00 for 2 Corner Tables (4). Table(s) may not be shared, transferred, sold, or sublet to another dealer without prior consent of the Bourse Chairman. I agree that I will NOT sell any 1:1 replicas or counterfeits of numismatic items and that I will be governed by the ANA Code of Ethics.
PLEASE PRINT OR TYPE CLEARLY
BUSINESS __________________________________________ CITY/STATE ________________________ NAME (1) ____________________________________ (2) _____________________________________ ADRESS _____________________________________ CITY/STATE _______________________________
I am a member of: _____ ANA _____ GNA
Circle the main types of material you display:
E-Mail Address _________________________________
_____ BRNA _____ FUN
COINS CURRENCY TOKENS MEDALS OTHER
Dealer setup from 2:00 – 7:00 p.m. on Thursday, Jan. 26. Security will be provided from 2:00 p.m. Thursday, Jan.
26 until 5:00 p.m. Sunday, Jan. 29. However, dealers are to insure themselves against loss. Access to the Bourse area will not be allowed prior to 2:00 p.m. Thursday, Jan. 26. Dealers with show badges will have access to the Bourse area at 8:00 a.m. Friday, Saturday, and Sunday. The show will close at 6:00 p.m. Friday and Saturday, and at 3:00 p.m. on Sunday.
J & R Coin Shop is the official supplier of cases and lamps for this show. Contact Richard Hickman at 2177 Lafayette Road, Fort Oglethorpe Georgia 30742, 706-858-0875 (Local), or email: email@example.com
*** Dealers are responsible for their own table/case covers, lamps, and cases. ***
The undersigned hereby agrees to the above conditions and releases MIDDLE GEORGIA COIN CLUB, INC., its officers, members, or committees in their respective official individual or person capacities from responsibility for any loss, damage, or injury whatsoever sustained, either directly or indirectly in connection with this show.
SIGNATURE _____________________________________________ DATE ________________________ MAKE CHECKS PAYABLE TO: MIDDLE GEORGIA COIN CLUB, INC.
Mail completed applications to:
Chip Davis, Bourse Chairman P.O. Box 286
Bolingbroke, GA 31004
Call 478.320.7850 or E-Mail
For more information visit www.middlegeorgiacoinclub.com
______ ______ ______
$210.00 per table $375.00 corner table $600.00 corner end cap
$25.00 per table deposit due with application Balance due upon arrival.
Total Due: ______________________
Balance Due: Friday, Jan. 26, 2017 (table may be sold if not paid in full by this time)