Atlantic County Seal

Atlantic County Government
DEPARTMENT OF ADMINISTRATION
OFFICE OF CULTURAL AND HERITAGE AFFAIRS
APPLICATION FOR FREE LISTING FOR INDIVIDUAL ARTISTS

For inclusion in the Artist Directory, print out the form below and mail to:

Atlantic County Office of Cultural & Heritage Affairs
40 Farragut Avenue
Mays Landing, NJ 08330

Submission Date:  
Last Name:  
First Name:
 
Mailing Address:  
 
City:  
State:
 
Zip Code:
 
Email:  
Web Site URL:  
Telephone Number  
Fax Number  
Web and/or eMail Address Listed in the Directory?
Yes
 
No
 
Telephone Number Listed in the Directory?
Yes
 
No
 
Fax Number Listed in the Directory?
Yes
 
No
 
Image Submitted with Listing?
Yes
 
No
 
Primary Artistic Discipline: indicate what best describes the primary career discipline, e.g. "painter- Abstract" "film - cinematographer" "writer - poetry".  A maximum of 2 sample professional credits may be included for the published listing.
 
 
 
 
 
 
Image:  Submit one image in digital .jpeg format.  This image can be burned onto a CD or email to Cynthia Mason-Purdie at cmasonpurdie@aclocalhost.  We will scan from a photograph but will not be responsible for returning the photograph.  Please write the artist name as the title of the .jpeg file or on the back of the photograph.
  Title of work, medium, etc. of the image sent:  (e.g. "mona Lisa" oil painting)
 
  Individual artists only - indicate here other artistic interests exclusive of primary career discipline.
 
 
 
 
 
 
  List up to 2 career related unions or guilds.  Write out the full  name.  Do not use acronyms.