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SLDDARTIFACTS@DWAVE.NET
Show Title:
_____________________________________________
ARTISTS NAME___________________________ PHONE #_________________
ADDRESS________________________________ E-MAIL______________________
STATE/ZIP________________________________ CELL PHONE________________
1st CHOICE_________________________________________
MEDIUM____________________________ PRICE (WVAG RETAINS 25%)________
DIMENSIONS (WIDTH X HEIGHT X DEPTH) _________________________________
2nd CHOICE_________________________________________
MEDIUM____________________________ PRICE (WVAG RETAINS 25%)________
DIMENSIONS (WIDTH X HEIGHT X DEPTH) _________________________________
3rd CHOICE__________________________________________
MEDIUM____________________________ PRICE (WVAG RETAINS 25%)________
DIMENSIONS (WIDTH X HEIGHT X DEPTH) _________________________________
Signature___________________________________________
Your signature indicates acceptance of conditions in this prospectus and is REQUIRED. Your signature constitutes an
agreement for Wisconsin Visual Artists Guild/Marshfield Clinic Weston Center to reproduce art work for catalog,
website, and/or educational purposes.
CHECKLIST:
0 Artist Statements Attached and labeled
0 Fully completed Entry Form
0 Signature....REQUIRED
0 Non refundable Personal check/Money Order
payable to WVAG for: $15 for 1 piece
$30 for 2 pieces,
$35 for 3 pieces