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TexpoART

INTERNATIONAL EXIBITION OF TEXTILE ART

REGISTRATION FORM

To be completed in capital letters.


SURNAME:...........................................................................................................................
FIRST NAME :.....................................................................................................................
DATE OF BIRTH:...................................NATIONALITY:.................................................
ADDRESS:............................................................................................................................
POSTCODE:...............................CITY / TOWN:...............................................................
COUNTRY :..........................................................................................................................
TELEPHONE:.............................................................FAX:.................................................
E-MAIL:................................................................................................................................
TITLE OF THE WORK:.......................................................................................................
DIMENSSIONS (in CM): ...................................................................................................
MATERIALS USED:...........................................................................................................

TECHNIQUES USED: ........................................................................................................

I hereby confirm having read the regulations of the TexpoART exhibition, in according to which I
undertake to comply.

Date: ......../......../.........

* Strike out any inapplicable replies

Signature:

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