DEALER INVOICE

BRIMFIELD BARN ANTIQUE MARKET

48 Palmer Road Brimfield, MA 01010   413-245-3209

 

TO:                                                                        FOR SHOW DATES: ____________________________

TRADE NAME:_____________________________________________________________________________________________________________________

PRINT NAME:______________________________________________________________________________________________________________

STREET:_____________________________________________________________________________________________________________________

CITY:___________________________________________________________________________ STATE: ______________ ZIP:_________________

 

    QTY                            DESCRIPTION                                            PRICE                    TOTAL

 

                        BOOTH RENT                      

                        TABLES                                                                           12.00

                        ELECTRICITY  (Up to 480 watts)                                    20.00   

 

 

 

                                                                            _____________________

                    TOTAL

This Dealer Invoice is subject to the terms and conditions of the Brimfield Barn Dealer Contract.

AGREED TO  BY: X _____________________________________________________________ DATE:__________________________