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| APPLICATION FORM 2012 |
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may print this page or download
the PDF Letter |
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Winter Address (until May 1st)
4107 SW Rushmore St.
Port St. Lucie, FL 34953
Ph. 772 879 1236 / Fx. 772 446 7671 |
Summer Address (after May 1st)
P.O. Box 2751
Montauk , NY 11954
Ph. 631 668 5336 / Fx. 631 668 0751 |
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Sponsored by
MONTAUK ARTISTS ASSOCIATION, INC.
Not-for-Profit Tax Exempt |
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this application form with 4-6 slides or photos
and your checks or Credit Card Information for $350 per space by MAY 15, 2012 to: |
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Montauk Artist's Association
P.O. Box 2751
Montauk, NY 11954-0300 |
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NAME_________________________________________________
ADDRESS______________________________________________
CITY - STATE - ZIP ______________________________________
HOME PHONE_____________________Fax ___________________
CELL PHONE___________________________________________
E-mail_________________________________________________
Web-site_______________________________________________
Vehicle License Plate #_______________________State_________ |
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| Oil/Acrylics____ |
| Watercolors____ |
| Mixed Media_____ |
| Pastels_____ |
| Graphics_____ |
| Digital Graphics_____ |
| Photography______ |
| Sculpture______ |
| Jewelry_____ |
| Ceramics_____ |
| Glass_____ |
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PAYMENT: ($350 per space)
I enclose my ____check or ____credit card for TOTAL AMOUNT $ ___________
CREDIT CARD PAYMENT:
Discovery____ American Express _____ Mastercard ____ Visa ______
Card Number_______________________________________Exp_____/_____
CVV Security Number on back of card________
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ARTIST MUST SIGN WAIVER:
I will not hold the Montauk Artists' Association,
Inc. or the Town of East Hampton, NY responsible
for personal injury, loss or damage to art
entered in the show or of equipment used for
display. I agree not to be a part of any
legal action against the sponsors or the
committee of this show.
Date___________ Signature _________________________________________ |
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© 2004 - 2012 Montauk Artists' Association, Inc. All artwork is the property of the individual artists.
For information or comments on this site contact the webmaster |
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