***Please print all names legibly and exactly as you wish them to appear at the event.***

***Please complete all portions of the application.***

 

ð  Business          ð Individual           ð Organization

 

Name  ______________________________________________________________________________________________________

                                (As it should appear in print)

 

Mailing Address  ______________________________________________________________________________________________

 

City  ______________________________________________________ State  _________________  Zip _______________________

 

Contact Name  _______________________________________  Phone (wk) _________________Alternate _____________________

 

How did you hear about Artrageous?  ____Newspaper  ____Television  ____Radio  ____Friend (name)  ____Other

 

I would like to be a sponsor: (please indicate number of squares you wish to sponsor)

 

____       6' x 8' Sponsor @ $500

 

____       KIDS ZONE EXCLUSIVE SPONSOR @ $10,000

 

 

Payment Type:     ___Cash               ___Check  (#______)       Please make your tax-deductible donation payable to:

***Please write 'Artrageous' in the memo section of your check***

Mail to: Stewart Ventures Inc. 3001 Lava Ridge Ct. #100  Roseville CA 95661

 

Sponsored squares are available on a first-come, first-serve basis.  Deadline for Sponsorships is September 10, 2005.  Chalk will be provided.  For more information, contact Jamie McNair, at (916) 788-8887.

   

                Please check one:  ___We would like Artrageous to provide our volunteer artist.

 

                                                                ___ We will provide our own street painter.

 

Artist Information (Please complete this portion if you are providing your own artist)

 

Important:  A copy of the image your artist will draw, must be submitted to the Artrageous Quality Committee for approval ASAP.  Artwork must be appropriate for public viewing.  No words or symbols intended as advertising may appear within the street artwork. Artrageous is responsible for inscribing the sponsor's name in the appropriate square. 

Age of Street Painter (please circle):     (15-18)   (19-25)    (over 25) All artists under the age of 18 must be accompanied by an adult.

 

Artist Name _______________________________________________ Phone (work) ________________________ (Home) _____________________

 

Address ________________________________________________________________ City ___________________________ Zip _______________

 

Assistant Artist(s) name and phone # ___________________________________________________________________________________________

 

_________________________________________________________________________________________________________________________

 

 

The undersigned artist (or guardian, if under 18) grants the non-exclusive license to STEWART VENTURES INC., to reproduce, in any medium, his/her art.  The undersigned further licenses STEWART VENTURES INC., to re-use, publish, and republish photography of the artist (including minors) in any medium.  The undersigned artist also permits STEWART VENTURES INC., the use of the artist's name (including minors), biographical description, and likeness in any media.