Wisconsin Visual Artists’ Guild

ENTRY FORM “REACHING NEW HEIGHTS”

“ALL CREATURES” JUNE 7TH – SEPTEMBER 6TH, 2011
ENTRY FORM DUE: MAY 27TH , 2011
CHRISTINE (715) 571-1320, SHARON (715) 261-0880, CHANDRA (715) 297-0858

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 35%)___________

DIMENSIONS (WIDTH X HEIGHT X DEPTH OVERALL)____________________________

2ND CHOICE TITLE_________________________________________________

MEDIUM_______________________PRICE (WVAG RETAINS 35%)___________

DIMENSIONS (WIDTH X HEIGHT X DEPTH OVERALL)____________________________

3RD CHOICE TITLE_________________________________________________

MEDIUM_______________________PRICE (WVAG RETAINS 35%)___________

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: SEND ENTRY FORMS TO:

O Artistic Statements Attached and Labeled
O Fully Completed Entry Form Reaching New Heights/Cattails 2010
O Signature – A MUST! C/O WVAG
O Non-Refundable Personal Check/Money Order P.O. Box 0833
Payable to WVAG Wausau, WI 54402 - 0833
For: $35 for up to 3 pieces entered
$60 for up to 6 pieces entered

DELIVER ART TUESDAY, JUNE 7TH FROM 4 – 6 pm TO THE CLINIC