Polymer Art Summit Registration

Polymer Art Summit: Polymer PLUS!

Please note, fields with a red asterisk require an entry.

Polymer Art Summit Attendee Info

First Name *

Last Name *

Street Address *

Address, Line 2

Country *

City *

State/Province *

Postal Code *

Email *

Phone (Primary) *

Website (Main)

Facebook

Enter the full URL https://www.facebook.com/yourusername

Instagram

Enter the full URL https://www.instagram.com/yourusername

Online Shop

Registration Fee

Polymer Art Summit Registration *

PAS5 Registration - $ 175.00

Total

Attendee Data

I acknowledge that the last day for a full refund, less $10 processing fee, is July 15, 2023 *

Yes No

This is my first virtual (Zoom) event *

Yes No

Do you want to be included in an attendee roster? *

Yes No

Roster would include name and contact information.

I agree to allow Polymer Art Summit to showcase my work or tools as part of the event. *

Yes No