2017 MEMORIAL DAY WEEKEND SHOW ON THE GREEN APPLICATION FORM

You may print this page and mail or fax it to us at  P.O. Box 2751, Montauk, NY 11954
Ph. 631 668 5336 / Fx. 631 668 0751

Sponsored by  MONTAUK ARTISTS ASSOCIATION, INC.
Not-for-Profit           Tax Exempt


Return this application form with 4-6 slides or photos and your checks or Credit Card Information for $350 per space by March 15, 2017 to:   Montauk Artist's Association,  P.O. Box 2751,  Montauk, NY 11954-0300


NAME_________________________________________________ADDRESS_________________________________________

CITY - STATE-ZIP______________________________________HOME PHONE_____________________

Fax___________________CELL PHONE___________________________________________

E-mail_________________________________________________Website___________________________________________

Vehicle License Plate #_______________________State_________     

Oil/Acrylics____Watercolors____Mixed Media_____Pastels_____Graphics_____Digital Graphics_____
Photography______Sculpture______Jewelry_____Ceramics_____Glass_____


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________

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 _________________________________________
    

©2016 Montauk Artists' Association, Inc. All artwork is the property of the individual artists.