Page Request

If you would like to be included in this web site, please print and complete a Request for Inclusion and mail to Virginia Arts and Crafts, Inc. 16 S College Ave. Salem, Va 24153. or email to info@virginiaartsandcrafts.com

Request for Inclusion on Southwest Virginia Artists webpage – www.swvaartists.com .

Name: __________________________________________________

Mailing Address: __________________________________________

Physical Location (if applicable): _____________________________

Telephone: ______________________________________________

Cell: ___________________________________________________

Fax: ___________________________________________________

Email: __________________________________________________

Name of Artist: ___________________________________________

Name of Organization/Venue/Gallery/Coffee Shop/Restaurant:

_______________________________________________________

Section for inclusion: _______________________________________

Website: ________________________________________________

Facebook: _______________________________________________

Twitter: __________________________________________________

Other Requested Links:______________________________________

Short Biography for Section Page (please include a representative piece of art or logo)

Please attach:

 Biography

 Classes or Courses provided (if applicable): _______________________

 Pictures – (you may submit at least 6 pictures in jpg type for inclusion).

 Search Engine Optimization Tags for embedded information on your page.

_____________________________________________________________________________________

I have read, understood and accept the Terms of Inclusion (please print off and sign this document and include in your application).

Signature _____________________________

Print Name__________________Date__________________

Base Cost – $125 (one hundred and twenty five U.S. dollars) fixed and firm for 1 (one) years inclusion, from the first day of the month following your application (subject to change).  To include one change per calendar month (months cannot be combined).

Additional Pages or services as defined below : _________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Total $_____________________________________________

Method of Payment __________________________________

Start Date __________________________________________

Renewal Date_______________________________________

Please note that your Request for Inclusion assumes acceptance of the most recent version Terms of Inclusion. Please note that work may begin prior to our receipt of your contract using electronically forwarded information.

Mailing address:

Virginia Arts and Crafts Inc

16 South College Ave.

Salem, VA. 25153

Cell 540 556 2421

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