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.