Grand Valley Aquarium Club

Seller’s Registration Form

                                                                                                                                                                                                                                                                   Seller ID #

 Page 1 of ____

 

 

Item #

Description of Item

Sell Price

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Total Selling Price

 

Total GVAC Amount (30%)

 

Total Seller Amount (70%)

 

 

Name

 

Street Address

 

City, State, Zip

 

Phone #

 

e-mail