Shop Owner Application
First Name *
Your answer
Last Name *
Your answer
Street Address *
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City *
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State *
Zip Code *
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Primary Phone Number *
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Secondary Phone Number
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E-mail Address *
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Why are you interested in selling at Antiques Village? *
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What sort of items do you sell? (Check all that apply.) *
Required
Do you sell at any other antique malls? *
How long have you been dealing in antiques?
What type of space are you interested in? *
Required
What is your preferred shop size?
Please list any additional information or referrals in the space provided.
Your answer
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