Form for entry into September 2015 member show

2015 September member show Entry Card

Please print all information completely and legibly.  Turn in the entry card and labeled artwork (ID labels below).

Artist:  _______________________________________________________

Street: _______________________________________________________

City, State, Zip: ________________________________________________

Telephone: ______________________E-mail: ____________________________

Entry Title #1: ___________________________________________

Medium: _________________________________________________

Dimensions HxWxD: _________________________________________

Price or NFS: ________                    50% of sales price if NFS _______

Entry Title #2: ___________________________________________

Medium: _________________________________________________

Dimensions HxWxD: _________________________________________

Price or NFS: ________                    50% of sales price if NFS _______

 

Entry Title #3: ___________________________________________

Medium: _________________________________________________

Dimensions HxWxD: _________________________________________

Price or NFS: ________                    50% of sales price if NFS _______

Entry Title #4: ___________________________________________

Medium: _________________________________________________

Dimensions HxWxD: _________________________________________

Price or NFS: ________                    50% of sales price if NFS _______

Entry Title #5: ___________________________________________

Medium: _________________________________________________

Dimensions HxWxD: _________________________________________

Price or NFS: ________                    50% of sales price if NFS _______

IDENTIFICATION LABEL #1                                IDENTIFICATION LABEL #2

ARTIST:   _________________                       ARTIST:   _________________

TITLE: ___________________                        TITLE: ___________________

MEDIUM: _____________________                       MEDIUM: ____________________

SALES PRICE or NFS:  __________                       SALES PRICE or NFS:  _________

INS VALUE:  __________________                       INS VALUE:  __________________                           

50% of sales price if NFS                                         50% of sales price if NFS

IDENTIFICATION LABEL #3                                IDENTIFICATION LABEL #4

ARTIST:   _________________                       ARTIST:   _________________

TITLE: ___________________                        TITLE: ___________________

MEDIUM: _____________________                       MEDIUM: ____________________

SALES PRICE or NFS:  __________                       SALES PRICE or NFS:  _________

INS VALUE:  __________________                       INS VALUE:  __________________                           

50% of sales price if NFS                                         50% of sales price if NFS

IDENTIFICATION LABEL #5                               

ARTIST:   _________________                     

TITLE: ___________________                        

MEDIUM: _____________________                    

SALES PRICE or NFS:  __________                      

INS VALUE:  __________________                                              

50% of sales price if NFS