El Dorado County Mineral and Gem Society

Placerville, California	El Dorado County MINERAL and GEM SOCIETY EARTH SCIENCES - LAPIDARY ARTS - SHARING INTERESTS
Request for Information Dealer Inquiries We are currently accepting qualified dealers. Please complete the form below, and we will contact you as soon as possible. Thank you very much.
*(required info )**
Subject	2011 Rock & Gem Show - Dealer Inquiry
FULL NAME *
COMPANY NAME *
TELEPHONE *
EMAIL*
WEBSITE	if applicable
TABLES*	Number of 8' tables you anticipate needing:
PRODUCTS *
Wait List:	Would you be interested in being on a wait list ? Yes No If so, how much notice would you need?
OTHER COMMENTS:

You can also Contact us	By Mail: El Dorado County Mineral and Gem Society P. O. Box 950 Placerville, CA 95667 Telephone: (530) 676 - 2472
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