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Payment Submission Form
Thank you for your participation, please complete the following form for our records and to confirm your preferred distribution method and mailing address.
Payment Information
Name
*
First Name
Last Name
Make check out to
(if different then above)
Brief description for payment
*
Email
*
Verify Email
*
Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Payment Distribution
*
(all donations are tax-deductible)
I'd like to donate 100% of my payment to Arts of Life
I'd like to use this amount towards an Arts of Life purchase
Please provide me with full payment
Other
Other preference
please explain
Amount Total
*
Please confirm the amount owed
Signed W9
Please include a completed w9 for payments of $600 and up
Keep me updated on future events and exhibitions.
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