I have read and agree to abide by the rules enclosed with this entry form. Date (M/D/Y): ___/___/___
Artist or Authorized Signature (required) | __________________________________________ | ||
Artist name | ______________________________ | Agent name | ______________________________ |
& address | ______________________________ | & address | ______________________________ |
(required) | ______________________________ | (if any) | ______________________________ |
______________________________ | ______________________________ | ||
Telephone | ______________________________ | Telephone | ______________________________ |
Electronic mail | ______________________________ | Electronic mail | ______________________________ |
My art will arrive at the show: with me, with my agent, other: | |||
Return artwork to: me, or my agent. Return it in person, or by other means: | |||
Check here if all communication should be via your agent. | |||
Check here if we should not send confirmations by electronic mail. | |||
Check here if you can not conveniently print your own Bid Sheets from a PDF on our website. | |||
Check here if you would like to be notified about future shows only by electronic mail. |
|
$_____ Art Show Fee (total panels & tables) | Special Requests: ____________________________________________ |
$_____ Print Shop Fee ($1 per copy) | Make checks payable to: ______________________________________ |
$_____ Mail-in fee ($20 if permitted) | Put on wait list rather than reject request? Yes No |
$_____ Membership(s) (___@ $43) | Refund memberships if no space available? Yes No |
===== Please include the name(s) & address(es) for additional members on a separate sheet. This rate is good through January 16, 2006. | |
$_____ Total Amount | Check / money order enclosed (payable to "Boskone 43") |
Charge my: MasterCard or VISA. Expiration date (M/Y):___/___
Name on card: ______________________ Card #: ____________________________
Signature: _______________________________________