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11th Annual Miniature Show Prairie Winds Art Center Grand Island, Nebraska ENTRY AND WORKSHOP REGISTRATION FORM Payment must be included with this form Print out form using the File - Print option on your computer. Information cannot be saved on this form. |
Artist's Name: _____________________________________________________________________________________________ Address: _________________________________________________________________________________________________ City, State, ZIP Code: ________________________________________________________________________________________ Phone #: (_____) ___________________________ Email Address: ___________________________________________________ Signature: ________________________________________________________________________________________________ signature indicates acceptance of terms |
Work #1: Title: ____________________________________________ Medium: _________________________________________ Price: ____________________________________________ Work #2: Title: ____________________________________________ Medium: _________________________________________ Price: ____________________________________________ Work #3: Title: ____________________________________________ Medium: _________________________________________ Price: ____________________________________________ Work #4: Title: ____________________________________________ Medium: _________________________________________ Price: ____________________________________________ Work #5: Title: ____________________________________________ Medium: _________________________________________ Price: ____________________________________________ |
Identification Labels: Please fill out, detach, and affix to the back of your art. |
Work #1: Artist Name: ______________________________________ Address: _________________________________________ ________________________________________________ Title: ____________________________________________ Price: ______________ Medium: ______________________ ------------------------------------------------------------------------------------- Work #2: Artist Name: ______________________________________ Address: _________________________________________ ________________________________________________ Title: ____________________________________________ Price: ______________ Medium: ______________________ ------------------------------------------------------------------------------------- Work #3: Artist Name: ______________________________________ Address: _________________________________________ ________________________________________________ Title: ____________________________________________ Price: ______________ Medium: ______________________ ------------------------------------------------------------------------------------- Work #4: Artist Name: ______________________________________ Address: _________________________________________ ________________________________________________ Title: ____________________________________________ Price: ______________ Medium: ______________________ ------------------------------------------------------------------------------------- Work #5: Artist Name: ______________________________________ Address: _________________________________________ ________________________________________________ Title: ____________________________________________ Price: ______________ Medium: ______________________ ------------------------------------------------------------------------------------- |
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To return to Miniature Show information page, please click here. |
Workshop Registration: April 9 - 11, 2010: ___ MONIES ENCLOSED: Workshop Fees: $225 Competition Entry Fee: ____________ TOTAL AMOUNT ENCLOSED: _________________ |