| War at the Shore Vendor form |
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Vendor Application
Company Name ____________________________
Address __________________________________
City____________________ State____ Zip______
Contact Name _________________________________
Phone: Day ______________Eve.__________________
Fax _________________ Email____________________
Product_______________________________________
Price: $100.00
Fee payable to by check or money order:
JSSLL
388 Harper Avenue
Brick, N.J. 08724
Master Card and Visa by phone 732 330-2659
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