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Artist Getaway in Murphys, CA, June 4-9, 2017 Pay by credit card here(cc payment includes a 3% processing fee)
To pay by check, please print this form and mail with your check to the address below. To pay by credit card go to the link above and also mail this form.
City __________________________State ____________________Zip_______________
Phone number (Home) _____________________Phone number (Cell Phone)_______________________
Please email an image of one of your paintings to email@example.com and I will add it to the Murphys Gallery.
In case of emergency contact (name and relationship to you)___________________________________
Contact info for that person (phone number and email)__________________________________
Room Choices - these are the total prices for 5 nights including tax. This is the check payment amount. There's 3% added for credit card payments for the processing fee.A two room suite has a sitting room and a bedroom.The deadline to cancel for a full refund is May 4, 2017, no refund after May 4.
$725 for a two room suite, single occupancy
$542 each to share a two room suiteDo you want to share a two room suite with two Queen beds? ($542 each)____________
Do you have someone you want to share with (who)?______________________________________________________________
Would you like me to try to match you with a roommate?________________
Do you want a private two room suite all to yourself? ($725)__________________
There is an elevator, do you prefer the first or second floor?_________________________________
Do you have any special needs? _______________________Handicap room? ______________
Would you like to paint as a group at specified locations each day?____________________
Would you like to participate in the 'show and tell' discussion each evening?___________________
What is your art medium? ____________How did you hear about this Artist Getaway?________________
Sign here_________________________________________ (“Participant”), acknowledge that Artist Getaway, Inc., is merely an organizer of the event, and agree to forever release and discharge Artist Getaway, Inc., from any and all actions, claims, or demands relating to injuries or damages resulting from or arising out of my participation in the event.
Please print and fill out this form (please be sure to sign the release above) and mail it with your check made out to Artist Getaway:
PO BOX 20214
EL SOBRANTE, CA 94820-0214