WHEELING COIN SHOW
TABLE RESERVATION FORM



NAME: ____________________________________________________________________

ADDRESS: _________________________________________________________________

CITY, STATE, ZIP: ___________________________________________________________

PHONE: ___________________________________________________________________

EMAIL: ____________________________________________________________________


I would like to reserve     [  ] One Table $30.00       [  ] Two Tables $55.00

at the March 13, 2010 Coin Show and understand that if I cancel my reservation,
this payment will not be refunded under any circumstances.

I hereby release Wheeling Coin Club, Benny Goodson, Benz Coinz, Comfort Inn and
any other company or individual involved in the promotion of this show from any and
all liability for damages, losses or injuries which may occur while in route to
the show, while attending the show and while in route from the show.

I understand the tables are six foot without covers and there are no backup tables available.



SIGNATURE:__________________________________________________________



After calling to reserve your table(s) send this form with payment made out to Benny Goodson to...

Benny Goodson, P. O. Box 2033, Wheeling, WV 26003