ArtWeek 2019: Light Up the Night Application Thank you for your interest in applying to be a part of ArtWeek 2019's Light Up the Night initiative! Please provide the following information: OK Question Title * 1. Name of the building or structure (ie statue, bridge, etc) that will be illuminated: OK Question Title * 2. Please provide the PRIMARY CONTACT information: FIRST NAME LAST NAME TITLE EMAIL ADDRESS PHONE NUMBER OK Question Title * 3. Please provide the mailing address of your building and/or structure: STREET 1 STREET 2 (unit, etc.) CITY STATE ZIPCODE OK Question Title * 4. Which Massachusetts region do you fall within (pick one) Cape Cod & The Islands Central Massachusetts Greater Boston North of Boston South of Boston Western Massachusetts OK Question Title * 5. Please list all of your website information and social media handles: Website URL Facebook Handle Instagram Handle Twitter Handle OK Question Title * 6. Please describe your Light Up the Night illumination here: OK Question Title * 7. Which nights of ArtWeek 2019 will the building/structure be illuminated? (please click all that apply) Friday, April 26 Saturday, April 27 Sunday, April 28 Monday, April 29 Tuesday, April 30 Wednesday, May 1 Thursday, May 2 Friday, May 3 Saturday, May 4 Sunday, May 5 OK Question Title * 8. How would you describe your ArtWeek involvement? New Returning OK Question Title * 9. Press and Marketing: Please feel free to add names/contact information of local and other media that has been receptive to your press/marketing efforts in the past so that we can add it to our ArtWeek outreach! OK Question Title * 10. Additional Comments: OK Question Title * 11. By checking this box, I agree to cross-promote with ArtWeek and Light Up the Night via social media efforts. I AGREE I do not agree - please contact me for information OK Question Title * 12. By checking this box, I authorize ArtWeek the irrevocable and unrestricted right to use and publish the images and logo provided for promotional purposes. I hereby waive the right to receive any payment for use of any materials provided to ArtWeek. I AGREE I do not agree - please contact me for information OK Thank you! An ArtWeek team member will reach out directly via email in 2 - 4 weeks to follow up with you to confirm your participation and collect some additional information. OK DONE