2011 Showcase of Miniatures (Good Sam Show)

Exhibit Entry Form

This form is to be used if you would like to share a miniature house, roombox or any other miniature display at our show. Plan to set the display up Friday, October 14th from 7-9 p.m. or Saturday, October 15th, 2011 from 7-9:30 a.m. Checkout is Sunday, October 16th, from 4-5 p.m.

Exhibitor's Name________________________________________________

Club/Group Name (if any)__________________________________________

Address________________________________________________________

City_______________________________State________Zip______________

Phone(_____)_________________Email_______________________________

Title of Exhibit____________________________________________________

Type of Exhibit:    Room______House______Dome______Other___________

Size of Exhibit:      Width______Depth______Height______

Scale of Exhibit (circle one):    1"        1/2"        1/4"        Smaller

Can this exhibit be viewed from all sides?    Yes_____No_____

Do you need electricity?                              Yes_____No_____

Interesting information about your Exhibit

____________________________________________________________
____________________________________________________________
____________________________________________________________

May we photograph your exhibit for publicity purposes? yes___no___

Please print out, fill out, and return this form no later than October 1st, 2011.

Lisa Guilmette
4319 Renaissance Dr. #108
San Jose, CA 95134
Phone: 408-204-1633
Email: LGuilmette2002@yahoo.com