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New England's largest and most diverse science fiction and fantasy convention

Art Show Late Reservations

Printer-friendly versionArt 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



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