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<html>
<head>
<meta name="GENERATOR" content="Microsoft FrontPage 4.0">
<meta name="ProgId" content="FrontPage.Editor.Document">
<title>Antique Market Booth Space Application</title>
</head>
<body link="#008000" vlink="#008000" alink="#8CD3D6" bgcolor="#FFFFFF">
<div align="center">
<center>
<table border="0" width="100%" cellspacing="6">
<tr>
<td width="14%" bgcolor="#8CD3D6" align="center">
<p align="center"><a href="http://www.marketantique.com"><font face="Arial" color="#008000" size="2">Home</font></a></p>
</td>
<td width="14%" bgcolor="#8CD3D6" align="center"><font face="Arial" color="#008000" size="2"><a href="http://www.marketantique.com/haverhil.htm">Haverhill</a></font></td>
<td width="14%" bgcolor="#8CD3D6" align="center">
<a href="http://www.marketantique.com/province.htm"><font face="Arial" color="#008000" size="2">Provincetown</font>
</a></td>
<td width="14%" bgcolor="#8CD3D6" align="center"><a href="directions.htm"><font face="Arial" color="#008000" size="2">Directions</font></a></td>
<td width="15%" bgcolor="#8CD3D6" align="center"><a href="http://www.marketantique.com/dealersales.htm"><font face="Arial" color="#008000" size="2">Dealers' Page</font></a></td>
<td width="15%" bgcolor="#8CD3D6" align="center"><a href="http://www.marketantique.com/commentform.htm"><font face="Arial" color="#008000" size="2">Comments?</font></a></td>
</tr>
</table>
</center>
</div>
<h1>
APPLICATION FOR BOOTH SPACE</h1>
<form method="POST" action="_vti_bin/shtml.dll/boothapplication.htm" onSubmit="" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" U-File="savedresults.htm" S-Format="HTML/BR"
S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE" S-Builtin-Fields startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" -->
<p> Name<input type="text" name="T1" size="58"> </p>
<p> Address<input type="text" name="T2" size="56"></p>
<p> City<input type="text" name="T3" size="20"> State<input type="text" name="T4" size="20">
Zip <input type="text" name="T5" size="20"> </p>
<p> e-mail <input type="text" name="T6" size="20"></p>
<div align="center">
<center>
<table border="0" width="60%" cellspacing="0" cellpadding="0">
<tr>
<td width="100%">Description of Merchandise</td>
</tr>
<tr>
<td width="100%">
<p align="center"><textarea rows="9" name="S1" cols="57"></textarea></td>
</tr>
</table>
</center>
</div>
<p> When would you like to move in ? <input type="text" name="T7" size="20"></p>
<p><input type="submit" value="Submit" name="B1"><input type="reset" value="Reset" name="B2"></p>
</form>
<p> </p>
<p> </p>
<p> </p>
<table border="0" width="100%" cellspacing="6">
<tr>
<td width="14%" bgcolor="#8CD3D6" align="center">
<p align="center"><a href="http://www.marketantique.com"><font face="Arial" color="#008000" size="2">Home</font></a></p>
</td>
<td width="14%" bgcolor="#8CD3D6" align="center"><font face="Arial" color="#008000" size="2"><a href="http://www.marketantique.com/haverhil.htm">Haverhill</a></font></td>
<td width="14%" bgcolor="#8CD3D6" align="center">
<a href="http://www.marketantique.com/province.htm"><font face="Arial" color="#008000" size="2">Provincetown</font>
</a></td>
<td width="14%" bgcolor="#8CD3D6" align="center"><a href="directions.htm"><font face="Arial" color="#008000" size="2">Directions</font></a></td>
<td width="15%" bgcolor="#8CD3D6" align="center"><a href="http://www.marketantique.com/dealersales.htm"><font face="Arial" color="#008000" size="2">Dealers' Page</font></a></td>
<td width="15%" bgcolor="#8CD3D6" align="center"><a href="http://www.marketantique.com/commentform.htm"><font face="Arial" color="#008000" size="2">Comments?</font></a></td>
</tr>
</table>
<p align="center"> </p>
</body>
</html>