Viewerie Exhibit Application
Requested Vierwerie Section(s)
*
Viewerie A
Viewerie B
Viewerie C
Date Requested for Exhibit
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Exhibit Title
*
Description of exhibit for publicity purposes
*
0/50
Detailed description of items to be used in display
Exhibit Coordinator Name
*
First Name
Last Name
Organization Name
*
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Phone - Primary
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact phone - Secondary (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email
*
example@example.com
Installation Contact Name (if different from coordinator name)
First Name
Last Name
Installation Contact Phone#
Please enter a valid phone number.
Format: (000) 000-0000.
Installation Contact Email
example@example.com
I have read and understood the Exhibits and Displays at Prescott Public Library Policy
*
By Checking this box, I agree to comply with all requirements
Please verify that you are human
*
Submit
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