Boskone 41 Art Show Entry Form
c/o NESFA, Box 809, Framingham, MA  01701-0203 – FAX: 617-776-3243
I have read and agree to abide by the rules enclosed with this entry form.	Date: ___/___/___

Artist or Authorized Signature (required)	

Artist name		Agent name	
& address		& address	
(required) 		(if any) 	
                 		            	
Telephone 		Telephone 	
Electronic mail		Electronic mail	
Check here c if all communication should be via your agent.
Check here c if we should not send confirmations by electronic mail.
My art will arrive at the show: c with me, c with my agent, c other:	
Return artwork to: c me, or c my agent.  c In person, or c by other means:	
Panel Space	Table Space	Print Shop
___ Dbl.  @ $84 §	___ Full @42 §	Item	Overall Size	  # Copies
___ Full @ $42 §	___ ½ @ $21 §	(1)	___” x ___”	___ (1-10)
___ ½ @ $21 	___ ¼ @$11	(2)	___” x ___”	___ (1-10)
___ ¼ @ $11		(3)	___” x ___”	___ (1-10)
§ Returning artists only, please.		(4)	___” x ___”	___ (1-10)
			(5)	___” x ___”	___ (1-10)
The total of panel and table space must be one or	(6)	___” x ___”	___ (1-10)
less, with no more than ½ table. Requests for	(7)	___” x ___”	___ (1-10)
additional space may be granted.	(8)	___” x ___”	___ (1-10)
			(9)	___” x ___”	___ (1-10)
Send Bid Sheets for ____ items.	(10)	___” x ___”	___ (1-10)
(Bid sheets are not needed for Print Shop items)	Total # of copies (0-100): _____

$_____ Art Show Fee (total panels & tables)	Special Requests:	
$_____ Print Shop Fee ($1 per copy)			
$_____ Mail-in fee ($20 if permitted)		Put on wait list rather than reject request?  c Yes  c No
$_____ Membership(s) ( ___ @ $41)		Refund memberships if no space available?  c Yes  c No
___________ Include name & address for addt’l. members (on separate sheet).  Rate good through January 18, 2004.
$_____ Total Amount	c Check / money order enclosed (payable to “Boskone 41”)
	c Charge my: c MasterCard or c VISA.  	Expiration date:___/___ 
	Name on card: ______________________ 	Card #:  ____________________________
	Signature: _______________________________________