Arts Promotion Trust Northland

ArtBeat Stallholder Registration Form

Art Beat 2008 will be held in Cafler Park, Saturday 15^th November from 10am to 4.00pm. Full information available here.

Please complete this form and forward your payment by October 10th.

Direct Credit to: (preferred option)
Arts Promotion Trust
ASB 12-3115-0105391-00
Please note your name and ‘ArtBeat’ as a reference

Post cheque:
Arts Promotion Trust
PO Box 949
Whangarei 0140

Pay cash directly at the Community Arts Centre: (Tues-Fri 10am-4pm, Sat 9.30am to 2pm)
Old Library Building
Rust Ave, Whangarei

* Required fields

* First name		* Surname
* Email
	Yes please! Sign me up for "What's On Northland" - weekly events guide with info about shows, festivals, exhibitions, openings, gigs, concerts and so much more!
	Yes please! Sign me up for "Creative Sector e-letter" - information on such things as funding, networking opportunities, professional development opportunities, as well as exhibition and performance opportunities
	* Please select your stall category (all prices include GST):
	Demonstration and Promotion $30
	Demonstration and Sales $40 (we would like to encourage you to be as interactive as possible with the public - if you would like to discuss this please contact Sandy-Lee sandylee@apt.org.nz or 09-430-6432)
	Sales only $50
	Cultural Cuisine $50
* Day Phone		* Night Phone
* Cell Phone
Address
Organisation
Website
	* How will you be paying? (Cheque by post, in person at Community Arts Centre, direct credit)
	Please describe your artform / craft / cuisine:
	Please indicate what type of activity or demonstration you propose to do:
	Do you require any power (max 5 amps) or water? Please state which: