A 501C3 Non-profit Charitable organization.

Table Reservation Form

For use after July 16th 2010.

Reservation Form

You may reserve online via ProspectorsSertomaGunShows.Com or you may complete
this form and send by mail including credit card information or check. We accept MasterCard and Visa only.
All tables must be prepaid to confirm.
Wall tables $65.00, Inside tables $60.00,  Electric: $45.00
All guns must be tied so as to render the action inoperable.
No pets allowed.
By filling out this contract, you agree to obey all federal, state, and local laws.
Mail with remittance to: Prospectors Sertoma , 2801 W. Colorado Ave., Colorado Springs, CO 80904-2443---------------------------------------------------------------------
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Name:
Company Name:
Street:
City:
Product Type:
Show Dates:
Payment Type:


Credit Card Number:
Name on Card:

Phone: Tax ID#:

Apt:    
State:  Zip:       

Number of Tables: Inside: Wall:
Check Visa M.C. Credit Card Billing Zip Code:

  Exp Date
   CCV # 3 digit # on back of card

Email address
Comments
 For office use only:  Prospectors Confirmation:

Approved by__________________Date_______Email:____ Mail____Other:___________________
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