Summer Show June 5th September 4th, 2012 ENTRY FORM DUE: May 25th, 2012 Sharon Dowis 715-297-4779 - slddartifacts@dwave.net Chandra Witter 715-297-0858 - chandralyn@gmail.com NAME_________________________________DAYTIME PHONE___________ ADDRESS______________________________EVENING PHONE___________ STATE/ZIP_____________________________CELL PHONE______________ ALL INFORMATION IS TO BE FILLED OUT COMPLETELY BY THE ARTIST.
MEDIUM_______________________PRICE (WVAG RETAINS 25%)___________ DIMENSIONS (WIDTH X HEIGHT X DEPTH OVERALL)____________________________ 2ND CHOICE TITLE_________________________________________________ MEDIUM_______________________PRICE (WVAG RETAINS 25%)___________ DIMENSIONS (WIDTH X HEIGHT X DEPTH OVERALL)____________________________ 3RD CHOICE TITLE_________________________________________________ MEDIUM_______________________PRICE (WVAG RETAINS 25%)___________ DIMENSIONS (WIDTH X HEIGHT X DEPTH OVERALL)____________________________ 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.
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Artistic Statements Attached and Labeled
Fully Completed Entry Form Summer Show 2012 Signature A MUST! C/O WVAG Non-Refundable Personal Check/Money Order 607 S. 24th Ave., Box 147 Payable to WVAG Wausau, WI 54401 For: $35 for up to 3 pieces entered $5 each additional piece, up to 6 total entries Revised 2-11-11
DELIVER ART TUESDAY, June 5th FROM 4 6 pm TO THE CLINIC