GIFFORD HOUSE TOWNIE PASS
Includes Entry to Club Purgatory and House Events
[excludes Fag Bash, ticketed theatre shows, and private events]
$120 | CASH ONLY at Pick-Up
After you fill out and click send on the form below (including all uploads), you can pay and pickup your pass 11AM TO 2 PM ONLY ALL SATURDAYS & SUNDAYS IN MAY, JUNE & JULY Go to the Gifford House Inn Reception Desk located up the main stairs at 9 Carver Street May 31st is the LAST DAY to complete your form
Name
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First Name
Last Name
Cape Cod Address
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Birthdate
*
-
Month
-
Day
Year
Date
I am over 21 years old
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Yes
No
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Face Picture [square photo] [png / jpg]
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Proof of Residence
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BENWA
Benwa is a multi-disciplinary artist based in Provincetown, Massachusetts. Known for his whimsical approach to various media, his diverse body of work derives inspiration from queer culture, storytelling, and esoterica. In addition to elaborate costumes and nightlife installations, Benwa has exhibited work at Treadwell Gallery (Ptown), E. Lesh Gallery (Ptown), The Provincetown Commons, as well as Art Gaysel in both Miami and Ptown. @brotherbenwa @ptowntarot
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