Artist Name: _________________________________Business Name: ________________________________________

Address: ___________________________________City: ______________________ State: ______ Zip:  ____________

Phone: __________________________Work: ________________________ E-mail: _____________________________

NM Tax ID #: ______________________________________________________________________________

Please indicate category of work to be exhibited:

 ___ Oil, Acrylic, Tempera, Pastel           ___ Watercolor             ___ Photography          

___ Sculpture                                       ___ Pottery

___ Slides Submitted -Five required for Jury consideration or you may send four
       digital photos to rrinfo@redriverchamber.org

*Would you be willing to submit an item for the Silent Auctions _____ yes _____ no

___Number of 10x10 booths at *$150.00            ___ Number of 10x20 booths at *$250.00

___ Electricity required at $10.00 per booth        ___ $10 late fee after June 1, 2010        

Amount enclosed: ___________                                Red River Chamber Member?   YES     NO      

Credit Card # (Visa/MC)_________________________________________________Exp. Date: ________________

                                                                                                            3 digit CVN number on back of card __________

Signature: _____________________________________________________________________________________

*Registration Fee includes Wine Reception and
Heavy Hors d’oeuvres for two at Mountain Treasures
Gallery Bistro & Coffee Bar Friday, June 18, 2010
and a commemorative wine glass. 

Sharing of 10x10 booths is not allowed. 

You must commit to be present in your booth for
both Saturday and Sunday.