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.