MILLENNIUM PHILCON ART SHOW
REGISTRATION FORM
This form prints as two pages and both pages are needed for the form to be accepted.
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Artist's Name:___________________________________ Address:_________________________________________ _________________________________________ Phone___________________________________________ E-Mail__________________________________________ Social Security #_______________________________ |
Agent's Name:___________________________________ Address:________________________________________ _________________________________________ Phone___________________________________________ E-Mail__________________________________________ Artist's Website url:___________________________ |
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Pro [ ] Amateur [ ] Semi-Pro [ ] Number of Panels Required: (Max. 3 units) Full (4' x 6'):____________ Half (4' x 3'):____________ Number of Tables Required: (Max. 2 units) Full (6' x 30"):_____________ Half (3' x 30"):_____________ Maximum combined units: 3. $60 = 1st unit, $65 = 2nd unit, $ 70 = 3rd units $30 = 1/2 unit Number of Pieces for Sale____________ Number of Pieces NFS_______________ |
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Any Special Display Requirements___________________________________________________________________ _______________________________________________________________________________________________ [ ] I want an artist table in the art show. I understand that I can not sell merchandise from this table. Time Constraints___________________________________________________________________________________ [ ] I Will Be Attending the Millennium Philcon. [ ] Send 6 Page Flyer with Reg. Info [ ] I Cannot Attend in Person But Authorize ________________________________________To Be My Agent. Address___________________________________________Telephone____________________________________ City_______________________________________State_________________Zipcode________________________ [ ] I Cannot Attend in Person But Wish to Mail In My Art. Contact Art Show Directors for required approval. Maximum of 1 Panel (4' x 6') or 1/2 Table or 4 Print Images/20 Copies Total Per Mail-In Artist. |
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$_____ Art Show Fee (total panels & tables) $_____ Print Shop Fee ($1 per copy) $_____ Mail-in fee ($40 if permitted) $_____ Membership(s) (_____*@ $_______________) $_____ Total Amount *Include name & address for addt'l. members on separate sheet. |
[ ] MasterCard [ ] Visa [ ] Amex Exp. ____/_____ Card#________________________________________ Name on Card:_________________________________ Signature______________________________________ [ ] Check /MO made out to Millennium Philcon [ ] Refund if no space available [ ] Wait list for available space |
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Please Return This Form ASAP but No Later Than July 15, 2001, to: Barbara Higgins 1011 New Hope St.,19B, Norristown, PA 19401 I Have Received the 7-Page Millennium Philcon Art Show Rules and Agree to Abide by Them Signature of Artist____________________________________________________ Date_________________ |
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This form prints as two pages and both pages are needed for the form to be accepted.