Registration Form 2020

Prescott's 4th Friday Art Walk Participant Registration Form
April 2020 - March 2021

REGISTRATION DEADLINE IS FEBRUARY 14, 2020

We will reply via email to confirm your registration was received. It will show your completed form and will also serve as a receipt for your records.

Your Name (required)

Your Email (required)

Gallery Name (required)

Street Address including zip code (required)

Phone Number (required)

Web Page Address (required)

Short Description of Art Featured (required)

Regular Business Hours (required)

April - September Art Walk Hours (required)

October - March Art Walk Hours (required)

Art Walk Nights Not Open

Well Behaved Dogs Welcome
YesNo

I am paying $200. by check and will make it out to Jill Huckeba and deliver it to the Huckeba Art Gallery 227 W. Gurley Street 86303.

I am paying $205.by Credit Card and will return to the registration page to use the PayPal processing option.

I understand the the deadline for payment is February 15th

Let us know if you have any messages and /or questions