ANTIQUE & COLLECTIBLES DEALER FORM "FREE 2017 LISTING"
Please fill in the following form which includes 2 sections. The first section provides the information on how you would like your listing to appear on antique67.com. Your company name, telephone, city and province are needed for the listing. The street address and postal code is optional for the listing. The second portion of the form is information about your company and is only used for antique 67. If you are an antique dealer with a shop or a dealer that does antique shows only or by appt. you can submit a listing. All information must be filled out in both sections unless marked otherwise in order for your listing to appear. Antique67 has the right to refuse any dealer or market listing submission.

MY LISTING IS:
New
a Confirmation
an Edit

Section 1
PLEASE HAVE MY LISTING APPEAR AS:
Company name:

Telephone

City

Province

Street address (optional)

Postal Code (optional)


Section 2
MY COMPANY INFORMATION
(All sections must be completed unless marked otherwise. All dealer information is protected under the Antique67.com privacy statement)
Please click below the category that applies to your company
Store
Shows Only
By Appt. Only
Company Name

Owner's Name


Mail Address
Street address

City

Province

Postal code

Store hours (if applicable)

Year round
Seasonal
Telephone

Fax (if available)

E-mail address

Web address (if available)

Brief description of company (e.g. "We carry a wide selection of antiques.
We specialize in pine furniture.")