Galway Quad Application

Lead Artist Name*

First NameLast Name
Lead Artist Show Name
Please complete if you tattoo under an alias/ pseudonym
Studio Name
Lead Artist Instagram*
https://www.instagram.com/yourname
Lead Artist Email*
example@example.com
Studio Address for us to send promotional materials*

Street Address

Street Address Line 2

CityCounty

Postal / Zip Code
Mobile/Cell*
Date of Birth*

DayMonthYear
Date
Nationality
2nd Artist*

First NameLast Name
2nd Artist Show Name
Please complete if you tattoo under an alias/ pseudonym
2nd Email*
example@example.com
2nd Instagram*
https://www.instagram.com/yourname
Nationality
Date of Birth*

DayMonthYear
Date
3rd Artist*

First NameLast Name
3nd Artist Show Name
Please complete if you tattoo under an alias/ pseudonym
3rd Artist Instagram*
https://www.instagram.com/yourname
3rd Artist Email*
example@example.com
Nationality
Date of Birth*

DayMonthYear
Date
4th Artist*

First NameLast Name
4th Artist Show Name
Please complete if you tattoo under an alias/ pseudonym
4th Artist Instagram*
https://www.instagram.com/yourname
4th Artist Email*
example@example.com
Nationality
Date of Birth*

DayMonthYear
Date
By submitting this form you are instructing us to proceed to order and use your pay for your booth construction, furniture, electrics, and clinical waste facility for the show. Once you have completed this form you agree that if you cancel within 6 weeks of the show, your full booth payment for all ordered artists will be due by show date, whether you choose to attend or not. You are agreeing you have permission to contract on behalf of the artists named in the application and that you fully understand the Terms and Conditions of attendance. Our full Terms and Conditions can be found here
I accept the terms and conditions

My Products

Deposit for 4 ArtistsVAT Is added at the checkout

€691.00

Full Payment for 4 ArtistsVAT Is added at the checkout

€1,382.50

Subtotal

€0.00

Tax

€0.00

Total

€0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty: