Night of 5s Annual Benefit- Artist Interest Form

Please complete the form below if you would like to support the Science Mill's Annual Benefit by donating all or a portion of your art to our art sale at the event. Learn more about the Science Mill's Annual Benefit.

Artist/Donor Name *
Artist/Donor Name
Artist/Donor Address *
Artist/Donor Address
Artist/Donor Phone *
Artist/Donor Phone
Delivery Method *
Donation Terms *
I consent that an image of my artwork may be used to promote Science Mill benefit fundraising event. *
Please email a photo of your artwork to
As a donor, you and a guest are invited to attend the event! Please provide the name of your guest to *
I understand that my donated art will be for sale at the Science Mill's Benefit fundraising event. Art not sold at the event will be returned to the artist. *