Legal Name *

First Name

Last Name

Alias or Artist Name

First Name

Last Name

Do you have a store front in Seward/Moose Pass?

Please list the address of your store.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Art Disciplines *

Visual Arts

Performing Arts/Theater

Dance

Music

Literature/Poetry

Design

Traditional/Crafts

Culinary Arts/Foodways

Smithing/Metal Work

Other (please describe below)

I understand membership and a listing fee is required. *

Yes

No

Agreement *

If my application is approved, I agree to allow the Seward Arts Council to display my name, alias, biography and art on sewardartscouncil.org.

First Name

Last Name