Dealer Space Request Form

Marietta Antique Mall 
1477 Roswell Road, Suite 100
Marietta, GA  30062


Dealer Name: _________________________________ Date:___________

Business Name: _______________________________________________

Phone #s:  Check best number.
  Cell ______________ Home ______________ Other _________________

Email Address: ________________________________________________

TYPE OF MERCHANDISE YOU WILL SELL: ___________________________


Are you new to the resale business?  Yes / No

If not new to resale, how long have you been in this industry? ________________________

Please indicate your current and past associations with other Antique Malls.









What size/type space do you need? _________________________________

What is your requested move-in month? ___________________________

Please upload photographs of samples of your merchandise here or email them to:                   Use control-P to print this page.

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