Paint the Town Registration | Farnsworth Art Museum

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Paint the Town Registration

Please fill out this registration form in its entirety. We look forward to seeing you on August 14, 2010!

Name: *

Address: *

Telephone: *

E-mail: *

Gallery affiliation:

If you are affiliated with a Gallery, please enter the name of the Gallery here.

Gallery Phone:

If you are affiliated with a Gallery, please enter the Gallery Telephone number here.

Gallery e-mail:

If you are affiliated with a Gallery, please enter the Gallery e-mail here

I hereby grant the museum permission to photograph and feature my artwork in museum publications and public relations materials: *

Yes

No

Please submit a brief bio for the Paint the Town Program:

© Farnsworth Art Museum
16 Museum Street
Rockland, Maine 04841
207.596.6457

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