Stifel & Capra
Art & Antique Market Application
260 W. Broad Street Falls Church, VA 22046 703-533-3557

Name:

Trade Name (if applicable):

Address:

Phone Numbers:

Resale, License, or Tax number (attach copy):
Website Type of Merchandise to be sold:
Artist’s Statement or Bio (Attach Copy):
Payment Type:
Resale or Tax number _____________________________ or I do not need a number because ( ) this is a Garage Sale - I am selling only miscellaneous used household items and I am not going to sell more than twice a year.

Market Date(s) Requested: $15 per 10x10 space: ___________________ (Saturdays)

AGREEMENT: I agree to fully indemnify and hold harmless Stifel & Capra, its agents, employees, or representatives, from any and all liability that arises from any loss due to my own or their neglect or any loss due to fire, theft, damage, injury, or any costs, whatsoever. I agree to inhabit my approved space from 10am to 2pm (except in inclement weather) in a cheerful, polite and appropriate manner. I agree to be ready to serve the public promptly at 10am and have appropriate supplies on hand (invoice books, cash, wraps or bags as necessary). I have read, understand and will abide by the Stifel & Capra Art & Antique Market policies and procedures. I also understand that failure to comply will result in not being allowed to sell at the Market.

Signature _________________________________________________ Date___________________________
S&C Approval ________
Date(s) ____________ Space(s) _____________ Total $_________

Stifel & Capra Art & Antique Market has a right to refuse any vendor’s application