Tailgate Swapfest Date: June 2, 2007

Name (First, Last):___________________________________________________

Address:  ____________________________________________________________

Address2: ____________________________________________________________

City: ________________________________________________________________

State: ________________            Zip Code: _________________________

Telephone: ___________________________________________________________

Signature: ___________________________________________________________

By completing and signing this document, I as a seller, certify the
following:

1.  I as a seller participate in only one event per calendar year that
lasts no more than three days. 
2.  I as a seller will be making sales of $500 or less during the
calendar year.
3.  My (seller's) name, address and phone number are included above.