Artist or Company Name:

Purpose/Mission Statement:

Phone#: Street:
City: State: ZIP:
Email Address:

Art Genre:
Visual
Audio
Performance
Other, Please explain:

Product/Service Description:

Inspirations:

Choose your Package:
Package 1:
- Market site
- 5 Product pages
- Contact form
- 1 Update per month
- Set-up Fee of $25
Package 2:
- Market site
- 5 Product pages
- Contact form
- 2 Updates per month
- Set-up Fee of $30		 Package 3:
- Market site
- 5 Product pages
- Contact form
- 4 Updates per month (including 72hr update turn around time)
- Set-up Fee of $35

Choose Your Payment Schedule:
Monthly:
Package 1: $15

Package 2: $30

Package 3: $60 		Bi-Annually:
Package 1: $90

Package 2: $180

Package 3: $360 		Annually:
Package 1: $180

Package 2: $360

Package 3: $720