To be Added to the
Postal Mailing List
and the E-mail LIST
complete the FORM HERE including Zip Code
Mailing List Request
Print This Form to MAIL or FAX
MIDWEST CERAMIC SHOW
65 Hideaway Court
Somerset, KY 42503
FAX: 606.679.7933
Please return all the following information, Thanks You
*******PLEASE PRINT PLAINLY*******
Date: _______________________________________________
Name:______________________________________________
Business Name:______________________________________
E-mail: _____________________________________________
Phone:______________________________________________
Address:____________________________________________
____________________________________________
City:_______________________________________________
State:______________________________________________
Zip code:____________________________________________
Country:____________________________________________
Comments: __________________________________________
___________________________________________