Art & Wine Fest Application

                        (PLEASE COMPLETE & Submit to the 2008 Art & Wine Fest Committee)  

                    Exhibitor Name:   E-mail address: 

                    Company Name: Website: 

                    Address:

                    City:  State: Zip: 

                    Phone: Fax: Cell No.:  Emergency No.:

                    Size and Height of DisplayXX(All artist are to provide their own tables, and display items, there will be nothing 

                    available by the show producers). (Limitation 10X10 spaces unless paying additional fees.)

                    Category of work (check all that apply):  Painting, specify: Sculpture, specify:

        Glass         Photography            Metal               Mixed media, specify:

r       Pottery/ceramic, specify:   Other Products, specify:

                    Items over 200 lbs, specify:

                    Date of Birth   Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 1930-1940 1941-1950 1951-1960 1961-1970 1971-1980 1981-1990 1991-2000  

                    Tax I.D. #: state):        

                    Number of Booths   Select your Booth Space ( # 1 # 2 # 3 # 4 # 5 # 6 # 7 # 8 # 9 # 10 # 11 # 11 # 12 # 13 # 14 # 15 # 16 # 17 # 18 # 19 # 20 # 21 # 22 # 23 # 24 # 25 # 26 # 27 # 28 # 29 # 30 # 31 # 32 # 33
                            

                     Referral (if the person you refer buys a booth at full price, you get a 50% discount)

                     Referral Phone #

                   This is an outdoor event, each vendor is required to have their own tent. (White in color)

                         BOOTH FEE 
                        8' X 10' Booth Space - $ 200.00 - (FOR THE TWO DAY EVENT)

                    DISCOUNT FOR EARLY REGISTRATION ( Prior to April, 30th 2008)- TAKE $25.00 OFF each Booth Fee.
                       

                     (REGISTRATION FEE MUST ACCOMPANY APPLICATION) Please Mail your Registration Fee ICO:

                    The Art & Wine Fest payable to Arts & More Gallery to: 302 North Main St.

                        Red Bud Illinois 62278  Amount Paid $   

                        Name On Credit card    
                        Billing Street Address  
                                                                         City: State:    Zip Code:
                        Select One Visa Mastercard
                        Card # Exp Date: Validation Code:
                        XXXX-XXXX-XXXX-XXXX                   XX/XX                                    XXX
                        (All information gathered is for the sole use of The Art & Wine Fest, no information will

                       be shared with any third party. Your purchases are secure. All credit card information is destroyed 

                        immediately after this purchase has been processed.)
                    

                        Applications will not be considered without payment information.

                        ( Your Credit Card will be run only if you are accepted by the 2008 Art & Wine Fest Committee)

                    (All booths spaces are based on availability and will be issued on a first come first serve basis.)

                    CHECKLIST (BE SURE TO ENCLOSE):

               SIGNED APPLICATION FORM

               ENTRY FEE / PER BOOTH (10 X 10)

              3 JPGS OF YOUR WORK,  and 1 JPG OF DISPLAY   (e-mailed to cathy1@htc.net)          

                    IF YOUR COMPUTER IS MICROSOFT WORD COMPATIBLE, YOUR CONFIRMATIONS WILL BE E-MAILED TO YOU.

               (MAKE CHECKS PAYABLE TO ARTS & MORE GALLERY)

        GENERAL RELEASE

                        The undersigned does hereby discharge, release and hold harmless, Lau-Nae Winery, Arts & More Gallery or  

                    (all cities, property owners, and associations) and all co-sponsors from any and all manner of action, suits, damages, or claims 

                    whatsoever arising from any loss or damages or claims, to the person or property of the undersigned while in possession or under 

                    the supervision of the sponsors during the event and hereby consents to enforcement of all rules of this event. Furthermore, the 

                    undersigned artisan hereby certifies that all display work is handcrafted and created by the seller. There will be no refunds on artist 

                    cancellation. Credit will be issued if The  Art & Wine Fest Committee, is notified in writing at least (4) FOUR weeks prior 

                    to an event. Exhibitors are responsible for full payment of registration fee if cancelled less than 4 weeks prior to event. 

                    MANAGEMENT RESERVES THE RIGHT TO DISQUALIFY ANY EXHIBITOR CAUSING ANY PROBLEMS TO FELLOW EXHIBITORS 

                    OR MANAGEMENT.  Failure to comply with the rules and regulations set forth on the reverse side of this General Release may result 

                    in expulsion from any and/or all events.  Management reserves the right to make final interpretation of all rules.

                    The undersigned understands that if this application is not accepted, all fees and slides will be returned by mail, with the exception of the     

                    Application Processing Fee. If accepted, The Art & Wine Fest committee. has my permission to reproduce my artwork, through 

                    the slides or photographs I have submitted, for the purpose of advertising and marketing the event.  The  Art & Wine Fest, 

                    also has my permission to publish photographs or videos taken of my booth, my work and me during the event for purposes related to 

                    promotion of the event, past or future.

                      ( Your Digital Signature will be considered binding upon completion of this form.)

                        Signed           Date