AUGUST 2017 SHOW ON THE GREEN APPLICATION FORM
You may print or fax this page and send it to 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 May 15, 2017 to: Montauk Artist's Association, P.O. Box 2751, Montauk, NY 11954-0300.
CITY - STATE - ZIP _______________________________HOME PHONE___________________Fax___________________
Vehicle License Plate #_______________________State_________
Oil/Acrylics____Watercolors____Mixed Media_____Pastels_____Graphics_____Digital Graphics_____
PAYMENT: $350 per space
I enclose my ____check or ____credit card for TOTAL AMOUNT $ ___________
CREDIT CARD PAYMENT:
Discover____ American Express _____ Mastercard ____ Visa ______
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.