Entrance Application for

Northport Plein Air Painting Event 2009

 

 

Name  _________________________________________

 

Address  _______________________________________

 

City  __________________________________________

 

State  _____________________   Zip   _______________

 

Phone  _________________________________________

 

Email  _________________________________________

 

Medium  _______________________________________

 

 

Northport Arts Coalition Member ($25), Non-member ($30)

 

Please sign entrance application and include fee (check or money order… checks made payable to Northport Arts Coalition),

 

Signed entrance application is considered acceptance of all Northport Arts Coalition Plein Air Event guidelines.

 

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Signature                                                                                                                                                        Date