Quartzsite Gold,Treasure & Craft Show
2019 Application
Friday, Saturday & Sunday February 8-10 2019
PO BOX 4051 QUARTZSITE, AZ 85359
928-927-5479
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:$_______ Credit Card:$________
