Boskone 37 Art Show Entry Form

Boskone 37 Art Show Entry Form
c/o NESFA, Box 809, Framingham, MA 01701

I have read and agree to abide by the rules enclosed with this entry form. Date: ___/___/___

Artist or Authorized Signature (required)
Name			Agent name (if any)
Address			Address


Telephone			Telephone
Electronic mail			Electronic mail
Check here __ if all communication should be via your agent.
My art will arrive at the show: __ with me, __ with my agent, __ other: ____________________
Return artwork to: __ me, __ my agent. _ Address above, __ other: ____________________

Panel Space	Table Space	Print Shop
___ Dbl. @ $80* +	___ Full @ $40* +	Item	Overall Size	# Copies
___ Full @ $40 +	___ 1/2 @ $20 +	(1)	___" x ___"	___ (1-10)
___ 1/2 @ $20	___ 1/4 @$10	(2)	___" x ___"	___ (1-10)
___ 1/4 @ $10		(3)	___" x ___"	___ (1-10)
		(4)	___" x ___"	___ (1-10)
* if available		(5)	___" x ___"	___ (1-10)
+ Returning artists only, please.		(6)	___" x ___"	___ (1-10)
		(7)	___" x ___"	___ (1-10)
		(8)	___" x ___"	___ (1-10)
		(9)	___" x ___"	___ (1-10)
Send Bid Sheets for ____ items.		(10)	___" x ___"	___ (1-10)
(Bid sheets 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 ($10 if permitted)		Refund memberships if no space available? __ Yes __ No
$_____ Membership(s) (___@ $36)		Wait list you for additional space? __ Yes __ No
======== Include name & address for additional members (on separate sheet).
$_____ Total Amount

__ Check / money order enclosed (payable to "Boskone 37")
__ Charge my: __ MasterCard or __ VISA.		Expiration date:___/___
Name on card: ______________________		Card #: ____________________________
Signature: _______________________________________