2024 Art & Wine Stroll Artist Registration Form Saturday, May 4, 2024
Deadline to register is April 15th by 4:00pm
Full Name
First Name
Last Name
Business Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Art (Tell us about the type of art you would like to showcase at the event.)
Would you be interested in performing an art demonstration at the event?
Please Select
Yes
No
Please attach photos of your art to share on our social media pages:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Facebook
Website:
Additional Comments/Questions:
Signature
Artist Registration Fee
prev
next
( X )
USD
Description
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.
Continue
Continue
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