Art in the Park Registration

First Name

Last Name

Company Name (if applicable)

PUBLICATION NAME

How you want to be listed in printed materials (alphabetized by first initial)

Mailing Address

City

Zip

EMAIL ADDRESS

Website

Cell Phone

Or best number

Public Contact Information

Check ALL forms of Contact Info you wish to share with the public

• Email Address
• Website
• Telephone
• NONE

Medium

i.e. Painting, Ceramics, Jewelry, Photography etc. (identify "mixed media")

Description of your work

Approximately 80 characters such as "Oil paintings of New England Scenes"

CT Sales Tax #

Registrations accepted without # - To sell goods in CT, a Tax ID# is required for a one-time $100 fee, Go to www.drs.ct.gov/eservice

RENTALS

Specify # of 8' tables (or other size), chairs and other item you would be interested in (including tents). Payment will be at cost and handled separately.

PAYMENT for Vendor Fee

If you are a non-profit organization or cannot afford your fee, ART may be able to help (check OTHER)

• I will pay online
• I will send a check
• Other

Other Comments or Questions

Any topic or question. Include placement preference or "same spot".

Please enter the characters from the above image.