Published on
Arisia 2011
(
http://2011.arisia.org
)
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Art Show Late Reservations
Public
Art Show space availability is limited. Please discuss your space needs with the Art Show director before filling out this form.
First, please tell us about yourself. (* indicates required fields)
Name
as you would like it printed
*
Address *
City *
State/Province *
Zip/Postal Code *
Telephone
Email address *
Website
Would you like your art to be included in a tactile tour for the visually impaired?
Yes
No
Signature *
I have read and accept the
rules regarding the display and sale of artwork at Arisia '11
Will you have prints in the Print Shop?
Yes
No If so, how many?
Will you be attending Arisia '11?
Yes
No
Skip this section if you are not using an agent:
Agent's Name
Agent's Address
Agent's City
Agent's State
Agent's Zip
Agent's Telephone
Agent's Email
Pay sales receipts to:
Artist
Agent
Agent Authorization
I authorize the person specified above to act as my agent on my behalf at Arisia '11
Source URL:
http://2011.arisia.org/ArtShowLateReservations