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Kentucky Art Car Weekend Application Form
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2nd Annual Kentucky Art Car Weekend 2003 Application Title of your Car or Contraption Artist Owner/Contact person Occupation Address City State Zip Home phone Work Phone Fax Email Artist's birthplace Type of thingamajig (circle one) Art car Contraption Cycle Motor Scooter Lawnmower Paw Paw's Tractor Wheeled Sculpture Skates Anything Else-Please specify
Do you drive your car every day?
Please give a description of your car or thing, what it looks like, what it is made of, how long it took to make and other interesting info you want to share.....
Do you have a photo you can send? Can we use it for publicity purposes? If so, please sign below...
I hereby give permission to KACF to use any promotional representation of my work in conjunction with the art car weekend, Artist's Signature
Out-of-towners When will you arrive in Louisville? If you have friends or relatives in Louisville, will you stay with them? otherwise we will do our best to find you a place to stay.
Please include a hand-written or typed note to reserve your spot in the event. If you are interested in a travel honorarium or mileage reimbursment please reply ASAP TO HOLD A PLACE FOR YOU. FUNDS ARE LIMITED!!!
Feel free to contact Karen Welch at (502) 589-0102 or karenwelch@kentuckycrafts.org with any questions.
Print this form and mail or fax back to: Kentucky Museum of Arts + Design Attn: Karen Welch 715 West Main Street Louisville, KY 40202 (502) 589-0154 FAX
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For more information, contact Karen Welch at (502) 589-0155 ext. 207 or Karenwelch@kentuckycrafts.org |