Gold Show Contract

Quartzsite Gold,Treasure & Craft Show

2021 Application

Friday, Saturday & Sunday February 12-14, 2021

PO BOX 4051 QUARTZSITE, AZ 85359

651-587-6136

QuartzsiteAZGoldShow.com

QuartzsiteAZGoldShow@gmail.com

Name: _________________________________________

Email:__________________________________________

Phone #:_______________________________________

Address:________________________________________

City:____________________________State, Zip:__________________________

Number In Party___________

Spaces Required:

Indoor: $125 per 10′ x spaces desired ______ = $________
Covered Outdoor: $50 per 10′ x spaces desired ______ = $________
Outdoor: $50 large x spaces desired ______ = $________

Dry Camping space needed: yes ______ no ______

Arrival Date: _______

Required Quartzsite Vendor Permit Number:______________________

Required Arizona Sales Tax Number:_______________________________

Your Signature:___________________________________ Date:__________________

Paid with: Cash:$________ Check:$_______ Credit Card:$________