Paint the Void: Business Intake Form
To prevent the Bay Area from turning into a bleak post-apocalyptic cityscape we are connecting visual artists with businesses boarding up their storefronts to arrange painting of the boards as they go up. We are fundraising to cover the supplies and a stipend for the artist’s time.

Please fill out the form below to express interest as a business so that we will can circle back to you once the project is launched. Currently we are connecting with artists and businesses located in San Francisco and Oakland.
Sign in to Google to save your progress. Learn more
Business Name *
Owner or Manager Name *
Contact Email *
Contact Phone Number *
Website *
Instagram
Business Address *
Zipcode of Business *
What are the dimensions of the plywood boards on your storefront or parklet?
Supporting businesses of diverse backgrounds is important to PtV. Please share which ethnicity you identify with if you feel comfortable doing so. (optional; select all that apply)
Gender (Optional)
Sexual Orientation (Optional; Choose all that apply)
Do you give us permission to use your business name and/or photos of the project for promotional purposes on the fundraiser and social media? *
Please upload any photos of the space that you may have below:
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy