Art and Wine in the Park

June 14, 2009   12:00 - 5:00 PM

Artist Registration Form

Artist Name: _______________________________________________

Address: ___________________________________________________

Phone:  ____________________________________________________

E-mail:_____________________________________________________

Specific Type of Art: Oil  Water Color  Photography  Pottery  Sculpture 

Other Please Explain:___________________________________________________

Average Price range $______________

Please Attach Photo, Print out or Web Site address that has a clear Example.

Special Requests:_____________________________________________

(No electricity is available)

Sellers Permit:           { Yes          { No

 Do you need information about obtaining one?  { Yes       { No

BOE Sellers Permit Number: # _________________________________

You must have a CA Sellers Permit to sell anything at Art and Wine in the Park. If you cannot furnish a valid number by June 10th your Application will be disgarded.

•  There is no charge to Artists to display and sell your work at Art and Wine in the Park.
•  By Entering as an artist you will automatically be entered to compete in the judged Art competition.
• $500 in Prize money will be distributed in various increments and awarded by our    panel of judges.
•  Set-up for artists can start as early as 8:00 a.m. but must be complete by 11 a.m.
•  You must provide your own tables, tent, chairs, panels and/or shade.
•  You must mail or fax registration form in time for the panel to screen your application no latter then June 10th
• You will be contacted after June 12th with space assignment.
• Typical space is 10' x 10' you will be directly next to another artist. If you need more space or walking isles on the side of you booth you must indicate that in the special request section. You may not change your space number after assignment. Make sure and indicate any special accommodations you will need on your application as we will not make changes on the day of the event.
• There are no pets allowed at Art and Wine in the Park.   – Sorry -

 Mail to: Fortuna Rotary Club,

 PO Box 1002 Fortuna, CA 95540   (preferred, thank you)

OR Fax: (707) 725-0806

  Please Return by June 5th 2009