Wall Licensee Payments
Member Name
*
First Name
Last Name
Email
*
example@example.com
Wall Licensee Payment Options:
*
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Wall Artist Deposit
One-time, refundable* deposit
$
80.00
Half Wall Cycle Payment
2 month rotation cycle payment; Non-refundable
$
50.00
Full Wall Cycle Payment
2 month rotation cycle payment; Non-refundable
$
100.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Make Payment
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