POUGHKEEPSIE PLAZA MALL
DISPLAY CASE

Your Name: ________________________________________________

Business Name: _____________________________________________

Address:___________________________________________________

Phone # ___________________________________________________

Cell # _____________________________________________________

Email address: _____________________________________________

!!All work must be handmade by the artist!!

Craft: _____________________________________________________
Description and prices of items to be displayed:
____________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Poughkeepsie Plaza Mall Management has the final approval over items displayed in the showcase

 
I will not hold HVAG or the Poughkeepsie Plaza Mall responsible for any loss or damage to my items.

Date:_______________ Signature:___________________________________

                                        Print Name: _________________________________
Contract 3/07