ENTRY FORM __ Accepted -----------___ Declined RETURN BOTH SECTIONS TO MEDIUM DIRECTOR WITH CD __Oil.. __Collage & Mixed Media __Aquamedia __Graphics__ Pastels __ Sculpture Describe Medium______________________________________________Describe Materials_______________________________________ ARTIST (Last)______________________________(First)_____________________ ___Active ___ Associate ___Honorary ___ Non-Member ADDRESS______________________________________________________________ CITY________________________ STATE ________ ZIP ________________________ TELEPHONE ( ______ ) _______________________E-MAIL______________________ TITLE ______________________________________________________________ frame SIZE _____________________________________ PRICE ____________________ I hereby agree to accept all terms and conditions set forth in this prospectus Artist's Signature........................................................................................................ -------------------------------------------------------------------------------- |
EXHIBITION LABEL for ACCEPTED WORK Audubon Artists, Inc. 69th Annual Exhibition 2011 ARTIST____________________________________________________________ ADDRESS_________________________________________________________ CITY_______________________________STATE_________ZIP_____________ TELEPHONE_______________________________________________________ TITLE:____________________________________________________________ MEDIUM________________________________PRICE_____________________ AGENT____________________________________________________________ AGENT ADDRESS______________________________________________________ |
