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Phoenix Moon
Patti's Oddities and Creepdy Dolls

Welcome to the Small Mall Family!

This form gives us the information necessary to prepare the business documents. Happy Selling!

Click Here to Access form W9

In addition to filling out the form below, you  need to print this W9 form and bring it to the store filled out and signed.

Full Legal Name

Your Phone Number

Email address

Your home Physical Address

City, State & Zip

What are you selling?

Start Date

Amount of space you need

Monthly rent amount

Emergency contact name

Emergency Contact phone number

Thank you!

We will get the paperwork ready and give you a call! Welcome to the Small Mall Family!

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