Registration/Reservation Form

Art in the Palms

November 13, 2010

  Please complete and mail to:  Art in the Palms, PO Box 5244, Grove City, FL 34224-5244

  NAME:__________________________________________________________________

  ADDRESS:_______________________________________________________________

  CITY:________________________  STATE:  ______________  ZIP: ___________

  PHONE: ____________________________________

  EMAIL:  ____________________________________

  Description of artwork presented (Please include Photo): ________________________________________________________________________________________________________________________________________________________________________

  Number of 10’ x 10’ Booths _____ @ $60 each……

                                        _______$50 before Sept 1  

  Tables will NOT be provided.

  (If you need a table, you must bring one.)

  TOTAL $___________

  I would like to donate an item to Art in the Palms auction/raffle held on this day.

  _____ YES     _____ NO

  Make Checks Payable to:  Palm Island Estates Association

  Questions????  Email Rose.Malone@earthlink.net  or call Rose Malone

   941-697-4915.

.