PANS & Windsor Coin Club Show
Sunday, February 18, 2018
Dealer Set-up Opens 8:00 AM
Open to Public from 10:00 AM to 4:00 PM
One-Way Traffic Out Starts at 3:30 PM
American Polish Cultural Center – Dequindre Road Main East Entrance
2975 East Maple Road at Dequindre Road, Troy, Michigan 48083
Table Fee: $95 DUE in FULL – Postmarked by December 31, 2017 ( Includes 1 Dinner )
Make checks payable to: Polish American Numismatic Society
All Tables Sold on a FIRST – AVAILABLE BASIS
$10 Added Fee per Table for checks postmarked after 12/31/2017 IF SPACE AVAILABLE
Case Rental Available at $10 per case – Table Lamp Rental Available at $5 per light
For details: Les Rosik, PANS President @ 248.909.2670
Dealer Application, Waiver and Release From Liability:
I hereby release the Polish American Numismatic Society and its officers, members, committees, agents and employees, in their official and/or individual personal capacities, from any liability for loss, damage or destruction, through negligence or otherwise, of any numismatic material, and from personal injury and property damage of any kind, which the undersigned may suffer or incur before, during, or after the coin show event. The foregoing, shall not, however, limit the liability of any individual who may personally be guilty of theft, willful damage or destruction.
The undersigned, in applying for bourse space, hereby agrees to accept the space allotted, and to abide by all the rules and regulations of the American Polish Cultural Center, PANS Committees, the City of Troy and the State of Michigan. Please note that City of Troy requires 3-prong extension cords. Table sales are final.
CAUTION: THIS APPLICATION CONTAINS A RELEASE FROM LIABILITY.
READ BEFORE SIGNING.
Signature of Applicant:_____________________________ Date: _____________
Print Name: ______________________________________________________
PO Box: ______________________________________________________
City: _____________________________ State/Zip: _________________
Phone #: ______________________________________________________
EMAIL : ______________________________________________________
# of Tables: ______________________________________________________
Amount Paid: _____________________________________________________
Balance Due: _____________________________________________________
Send your signed application and payment to:
Polish American Numismatic Society
PO Box 80515
Rochester, MI 48308-0515