Art Walk Registration Form

Prescott's 4th Friday Art Walk Participant Registration Form
April 2021 - March 2022

REGISTRATION DEADLINE IS FEBRUARY 15, 2021

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.

Note: The November art walk is on the day after Thanksgiving. There will NOT be an art walk in December since the 4th Friday falls on Christmas Eve.

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 mail it to P.O. Box 91 Seligman, AZ 86337-0091 att. Jill Huckeba

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