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.


NAME______________________________________________ADDRESS_________________________________________

CITY - STATE - ZIP _______________________________HOME PHONE___________________Fax___________________

CELLPHONE______________________Email_____________________________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:

Discover____        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.