PAYMENT FORM 9th Annual Art on the Prom 2012 Sunday the 2nd September 2012, 10am – 4pm I / we wish to take part in Art on the Prom 2012 I / we have completed the Application Form on the Website Name (s) ...................................................................................................... Address ...................................................................................................... ...................................................................................................... Tel ...................................................................................................... Email ...................................................................................................... I / we have read and accept the Standards and Exhibition Rules in the Prospectus I / we have insurance / I / we accept Art on the Prom organisers are not responsible for damage to art work on the day I / we enclose a cheque made payable to Art on the Prom. EARLY BOOKING DISCOUNT FOR THE EVENT For applications made before 30th April the booking fee is £50. Fees received from 1st May rises to £60. Please make your cheque out for the appropriate amount. Signature (s) ............................................................................................................................. ............................................................................................................................. Send this Payment Form and cheque to: Art on the Prom 68 Ranelagh Road, Felixstowe, IP11 7HY Please note – your application will not be considered until this fully completed form and payment are received. There will only be 85 stands available and all applications are accepted on a strictly first-come first-served basis.