Registration/Reservation Form
Art in the Palms
November 8, 2008
 

Please complete and mail to: 
Kim Peacock, Art in the Palms, PO Box 983, Placida, FL  33946
 
NAME:__________________________________________________________________________

ADDRESS:_______________________________________________________________________

CITY:_____________________________________  STATE:____________  ZIP:______________

PHONE:_________________________________________________________________________

EMAIL:__________________________________________________________________________

Description of artwork presented (Please include Photo):_________________________________

________________________________________________________________________________
 

 
Number of Booths________@ $60 each...($50 BEFORE SEPT 1ST)...___________

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 Kim Peacock at kim@gnsfoods.com or call 941-697-3808 or 817-371-3045.