Professional Documents
Culture Documents
EntryForm WinterShow2011
EntryForm WinterShow2011
PLEASE PRINT
CLEARLY!
1ST CHOICE TITLE_____________________________________________________________
MEDIUM_______________________PRICE (WVAG RETAINS 25%)__________________
DIMENSIONS (WxHxD)_______
Past Exhibit Name ____________________________Award Winner? ___________
2ND CHOICE TITLE_____________________________________________________________
MEDIUM_______________________PRICE (WVAG RETAINS 25%)__________________
DIMENSIONS (WxHxD)_______
Past Exhibit Name ____________________________Award Winner? ___________
3RD CHOICE TITLE_____________________________________________________________
MEDIUM_______________________PRICE (WVAG RETAINS 25%)__________________
DIMENSIONS (WxHxD)_______
Past Exhibit Name ____________________________Award Winner? ___________
SIGNATURE______________________________________________________
Your signature indicates acceptance of all conditions in this prospectus and is REQUIRED.
Your signature constitutes an agreement for Wisconsin Visual Artists Guild/Marshfield Clinic-Weston
Center to reproduce artwork for catalog, publicity, website and/or educational purposes.
O
O
O
O
CHECKLIST: