CORINTH CIVIL WAR RELIC SHOW
March 5-6, 2011

Space reservation Form

Please provide the following information.

Name______________________________________________________

 

Address____________________________________________________

 

Telephone Number___________________________________________

 

Email______________________________________________________

 

I wish to reserve______ tables at $50 each if before 1-01-11.

I wish to reserve______ tables at $55 each if after 1-01-11.

Tables will be $60 each the day of the show.

 

Total enclosed____________

 

2 passes with 1st table and 1 for each additional table.

 

Please print the names as you want them on the badges.

1.____________________________  2. __________________________

 

3.____________________________  4. __________________________

 

If you are planning a show table, what will be your theme. ___________________________________________________________

 

Date ____________      Signature_______________________________

 

Checks should be mailed and made payable to:

Col. W. P. Rogers Civil War Relic Show

P. O. Box 1591

Corinth, MS. 38835