Artist Fees

Name*
First Last
Company Name*
Email*
Address*
Street Address City State ZIP Code
City Permit
Price: $15.00
Booth Size*
- 5 x 10 booth
- 5 x 20 booth
- 10 x 10 booth
- 10 x 10 corner booth
Optional Add-Ons
- Electric
- Professional paneling
- 6' table
Electric
Price: $15.00
Professional Paneling
Price: $75.00
6' Table*
Price: $10.00 Quantity:
Total
$0.00
Paymet Method*
- Credit card
- Check
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Please mail a check to the following:

GoggleWorks
201 Washington Street
Reading, PA 19601
Price
Discount Amount

Albert and Eunice Boscov Theatre