Dr. Lori Registration Form

Dr. Lori Registration Form

Fill out the form carefully to register, as there is limited availability.
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Date of Event

MonthDayYear
Date
In order to make registration for this event seamless, we would like to know the following:
NoYes
If "yes", please briefly describe the item you will bring. Suggested items: watches, jewelry, vases, figurines, china, music boxes, art, records, pottery and small furniture.
If you are planning on bringing an item for Dr. Lori to appraise, you must register your item between 5:30-6PM. No items will be accepted after 6PM.

Thank you and see you on January 29th!
How did you find out about this event?*
If "other", please briefly state where you heard about this event.
Should be Empty: