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Name :_______________________________________
Address:______________________________________
City:_________________________________________
State:__________ Zip code:____________________
Telephone :____________________________________
Email : _______________________________________
Fax: _________________________________________
| Description of Space | Number of Spaces Required | Price Each | Total |
| Inside on Concrete 10' x 10' | Sold Out | $30.00 | |
| Inside on Dirt 10'x 10' | $25.00 | ||
| Outside 10' x 20' | $25.00 |
Total Price: ____________
Indicate Space Arrangement Circle one
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Wise County Antique Auto Club
P O Box 360
Boyd, Texas 76023 Phone (940)
433-5770 (6 P.M. - 10 P.M.)
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