Wisconsin Visual Artists Guild

ENTRY FORM REACHING NEW HEIGHTS

Winter Show December 4th, 2012 March 5th, 2013
ENTRY FORM DUE: November 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.

PLEASE

PRINT CLEARLY!

1ST CHOICE TITLE_________________________________________________

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.

CHECKLIST:
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SEND ENTRY FORMS TO:

Artistic Statements Attached and Labeled

Fully Completed Entry Form
Winter 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, December 4th FROM 4 6 pm TO THE CLINIC