Artist Payment Agreement
This form is for payment purposes. The information here will be shared with the venues for the purposes of making payments for art sold. Please use care when completing this form. You will not be able to edit your answers once submitted.
Name
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First Name
Last Name
Name you would like checks made out to if other than the name listed above.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you accept Venmo? If so, include your handle here (example: @yourvenmo)
I agree to a 25% comission rate to be withheld on all sales made through participation in the Keystone Arts Collective group.
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Yes, I agree
I agree to hold harmless and release Amy Dougherty, Keystone Gold International LLC and its subsidiaries, the Keystone Arts Collective and all partners, venues, staff and volunteers contracted or associated with the group stated above for the purpose of displaying and promoting the Keystone Arts Collective, its artists and their art from all liability. I agree that the parties stated above are not responsible for any losses due damages, theft, injury or other loss that may occur due to my participation. I assume responsibility for my own actions at all times.
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Yes, I agree
I affirm that the information I have provided is true and accurate to the best of my knowledge and have agreed to the terms stated herein and enter this agreement willingly and of my own accord.
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