OASIS 22
Dealer Registration Form
Print,complete and mail with your check,
made out to:
OASFiS
P.O. Box 592905
Orlando, FL 32859-2905
Business Name:________________________________
Dealer Name:__________________________________
Address:______________________________________
City:___________________State:____Zip:________
Telephone:_________________
email:________________________________________
Number of Tables:_____ X $65= $______
Extra Memberships:____ X $30= $______*
Total enclosed: $______
Type of Merchandise:__________________________
Special Needs:________________________________
______________________________________________
______________________________________________
*Extra memberships are $30/ ea through 12/31/08
$35/ ea through 4/30/09
$40 after 4/30/09