MAMo 2011: Maoli Arts Month Artist Application

1. Personal Information

Aloha!

Mahalo for your interest in MAMo: Maoli Arts Month 2011.

IMPORTANT: By submitting this application, you are agreeing to read and comply with the MAMo: Maoli Arts Month requirements and deadlines, certify that you produce your own artwork and further agree that photographs, video and images of yourself and/or your artwork may be used by PA‘I Foundation, its partners and sponsors for the purposes of promoting MAMo and the organization. Any other use of your images will be with the consent of the artist.

If you have any questions about this application, please contact Kaʻiulani Takamori at (808) 375-0847 or via e-mail at mamo.pacc@gmail.com

We look forward to receiving your completed application.
Applications are due: TUESDAY, FEBRUARY 8, 2011.

Mail Completed Applications to:
MAMo 2011
C/O PA'I Foundation
PO Box 17483
Honolulu, HI 96817

Mahalo!

Question Title

* 1. Personal Information:

Last Name:

First Name:

Middle Name:

Organization Name (if applicable):

Street Address:

City:

State:

Zip:

E-mail Address:

Website:

Primary Phone:

Alternate Phone:

E-mail Address:

Website:

Social Security or Fed Tax ID#:

Question Title

* 2. Are you of Native Hawaiian ancestry?
NOTE: Proof of ancestry may be required.

Yes

Question Title

* 3. Please select the information that you would like listed:
(check all that apply)

	Name	Address	Phone	E-mail	Website
in the MAMo 2011 Artist Guide	in the MAMo 2011 Artist Guide Name	in the MAMo 2011 Artist Guide Address	in the MAMo 2011 Artist Guide Phone	in the MAMo 2011 Artist Guide E-mail	in the MAMo 2011 Artist Guide Website
on the MAMo website www.maoliartsmonth.com	on the MAMo website www.maoliartsmonth.com Name	on the MAMo website www.maoliartsmonth.com Address	on the MAMo website www.maoliartsmonth.com Phone	on the MAMo website www.maoliartsmonth.com E-mail	on the MAMo website www.maoliartsmonth.com Website

Comments:

Question Title

* 1. Personal Information:

Question Title

* 2. Are you of Native Hawaiian ancestry?NOTE: Proof of ancestry may be required.

Question Title

* 3. Please select the information that you would like listed:(check all that apply)

* 2. Are you of Native Hawaiian ancestry?
NOTE: Proof of ancestry may be required.

* 3. Please select the information that you would like listed:
(check all that apply)