Community Art Project Form | ORANGE GECKO Art Network Inc.

I would love some funky fish on my fence

Yes
No

We/I give permission for Orange Gecko Art Network to attach some Funky Fish to our fence /or building as discussed. We acknowledge that by ticking the YES box this is our signature to give permission for the attachment.

We/I can donate some acrylic paint colours

Yes
No

We/I have some acrylic paints (house or artist) to donate to the funky fish project.

We/I would like to support and donate some $ towards this project to assist in the purchase of materials like the marine ply sheet/s for the fish templates.

Yes
No

Bank Details:

Orange Gecko Art Network

BSB 067-023

A/C 1008 3768

Ref: Funky Fish-Your Name

Contact Project coordinator

[email protected]

Ann - 0417 602 822

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Description of your Fence

Please advise the type and colour of fence you have. Wooden, Colour-bond or other. We would appreciate a photo of your fence. Email to: [email protected]

I want to be involved in this Community Arts Project – Funky Fun Fish on Fences