Boskone 40 Art Show Entry Form
c/o NESFA, Box 809, Framingham, MA  01701-0203
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  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.   In person,  by other means:	
Panel Space	Table Space	Print Shop
___ Dbl.  @ $84* §	___ Full @42* §	Item	Overall Size	  # Copies
___ Full @ $42 §	___ 1/2 @ $21 §	(1)	___” x ___”	___ (1-10)
___ 1/2 @ $21 	___ 1/4 @$11	(2)	___” x ___”	___ (1-10)
____ 1/4 @ $11		(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)		Wait list you for additional space?   Yes   No
$_____ Membership(s) (___@ $40)		Refund memberships if no space available?   Yes   No
___________ Include name & address for addt’l. members (on separate sheet).  Rate good through January 20, 2003.
$_____ Total Amount	 Check / money order enclosed (payable to “Boskone 40”)

	 Charge my:  MasterCard or  VISA.  	Expiration date:___/___ 
	Name on card: ______________________ 	Card #:  ____________________________
	Signature: _______________________________________