CML drawingBethany Library Association                                             
Clark Memorial Library
Arts in the Library
538 Amity Road,
Bethany, CT 06524

APPLICATION FORM, please print out this page to complete it.  Or, download this PDF:Library Arts in the Library, APPLICATION FORM, as per Gov Com, Revised Nov 2015 (1)

Please print clearly

Name ________________________________ Phone ____________________________

City/State/Zip ______________________________ Email ________________________

Medium(s) ______________________________________________________________

Approx number of pieces you could display ____________________________________

List names of items and the medium submitted for Jurying:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Which months will you NOT be able to exhibit? ________________________________

JPG Images may also be emailed to the ALC at: artsatclark@gmail.com

Check any or all of the following and circle your preference:

Solo ___    2 to 3 people ___    Group (name of group) ___________________________

Application Fee: $10.00. Make check payable to: “Bethany Library Association” (or BLA). Please write “Arts in the Library Committee” (or ALC) in the memo line of the check.

A 10% commission will be due on any sales.

The Clark Memorial Library, Bethany Library Association, the Art in the Library Committee and the Town of Bethany and are not responsible for loss or damage incurred by displaying, handling, moving or storage.

 Return Application to:

Clark Memorial Library
Arts in the Library Committee
538 Amity Road
Bethany, CT 06524

You may also return via email to artsatclark@gmail.com.

Approved Nov. 2015

________________________________________________________________________

ALC use only: $10.00 Application Fee Received ____ cash ____check