The Art of Water Registration Form
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Questions marked with an * are required Exit Survey
 
 
You can use this form to register as an exhibitor for "The Art of Water". Attendees may also fill out contact information to be updated on details regarding this event.
You can also like our Facebook page www.facebook.com/waterfromrain to see updates as they are available.

It is the responsibility of the registrant to follow up with payment per the instructions at the end of the document. Fees are as followed:

Private Business - $30 (w/o table), $40 (with table)
Nonprofit/Government - Free (w/o table), $10 (with table)
Student Group - Free
 
 
 
Organization Name (if applicable):
   
 
Contact Information
* First Name : 
* Last Name : 
* Address 1 : 
   Address 2 : 
* City : 
    * State     * Zip
* Phone : 
* Email Address : 
 
 
 
Would you like to do a live demonstration/workshop?*

*Most demos will focus on the green infrastructure aspect, but we may be able to fit in artist demos if time permits. If you are interested, click yes and provide a description, and we will notify you if able to fit you in. Demos with a water theme will be given preference.
 
Yes
 
No
 
 
If yes, please describe:
   
 
 
 
I am registering as a:
 
Private Business
 
Nonprofit Organization
 
Municipality/Government Organization
 
Student Organization
 
 
 
Would you like to do a live demonstration/workshop?
 
Yes
 
No
 
 
If yes, please describe:
   
 
 
Do you need to be provided a table for the event?*
*Please note that a $10 fee will be charged, see list of fees
 
Yes
 
No
 
 
 
How do you wish to pay for your registration?
 
Check
 
Cash
 
I do not have any registration fees
 
 
Cash or Check Payment:
Checks should be made out to the Joyce K.L. Smith Memorial Fund.

Print out a copy of your confirmation email and send along with cash or check to:
Beth Lucas, Broome County Planning Department
Broome County Office Building
60 Hawley Street, PO Box 1766
Binghamton, New York 13902

Fees are as follows:

Private Business - $30 (w/o table), $40 (with table)
Nonprofit/Government - Free (w/o table), $10 (with table)
Student Group - Free