2015 Brendan Borek Registration Form

2015 Local Artist and Friends Juried Art Show Registration Form
Name: _____________________________________________________ Date: ______________________
Address: _______________________________________________________________________________
Summer: ________________
Winter: _________________
Phone: ____________________________ Cell Phone (including area code): ________________________
E-Mail Address: _________________________________________________________________________
I’ve participated in the art show before (list years): _________________ I am new to this event: ______
Contact Preference: e-mail ______ phone: ______ cell phone: ______ snail mail: ______
Describe Your Art (20 words or less): Please include whether your work will be hung on a easel,
displayed on a table or both.
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To maintain the spiritual integrity of this event, please tell us why you wish to be part of this exhibit:
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This is a juried event. It will be held on July 28th at the Avalon Yacht Club (7th & the Bay, Avalon, NJ)
from 6—9. Artists will be able to set up their work on July 27th. Hours for set up will be announced
closer to the date. Please enclose a sample price list and three visual samples of your work via .jpg,
photo copy or PC compatible CD. Please note, samples will not be returned and if selected, may be used
for publicity purposes. Brendan’s Fund will receive a 50% commission on all art sales. All accepted &
excluded artists will be contacted by event staff on or before July 12, 2015
This application must be received by July 9, 2015. Please fax, email or send to:
Brendan Borek High Tides Memorial Fund, Inc. P.O. Box 41, Avalon, NJ 08202.
Phone 609. 967. 0100 Fax 609. 967. 3480 E-mail bren@brendansfund.org