Name of Artist: ___________________________________

Address: ________________________________________

              ________________________________________

Home telephone:  ____________________Cell phone: _________________
         
Email: ___________________________________________________


How do you want your work described in the Arts Walk Program? 

_____________________________________________________________

Are you new to Arts Walk this year?                    Yes     No

Please note that due to increasing costs, this application must
be accompaniedby a non-refundable $25.00 registration fee. 

All checks must be made out to The Port Jervis Council for the Arts.
Applications received without the $25 fee, will not be processed. 

Please send your completed application along with your check for $25 to:


Susan Krause
106 Avenue E
Matamoras, PA 18336




Application deadline:  June 1, 2008