Wisconsin Regional Art Program: Entry blank for regional exhibits

PRINT, FILL OUT AND SEND TO COORDINATOR ONE WEEK BEFORE ARTWORK IS DUE.

Name __________________Phone (___)________________________

Address ________________City/State __________ ZIP ____________

Title:________________ Title:_______________ Title:________________

Media:_______________ Media:_____________ Media:_______________

Size:_________________ Size:_______________ Size:________________

Sale price or NFS______ Sale price or NFS_____ Sale price or NFS______

I have read the rules and certify that I am a nonprofessional, that all my work submitted is ORIGINAL and COMPLETED WITHIN THE PAST 2 YEARs. (See guidelines)

$20 fee enclosed_____Signature:________________________________________ (Check payable to SPONSOR OF WORKSHOP)

IDENTIFICATION LABELS Cut along lines and attach securely to the back of your work.

Three entries per person.

Name:_______________ Name:_______________________ Name:___________________

Address:_____________ Address:_____________________ Address:__________________

City/ZIP: _____________ City/ZIP:_____________________ City/ZIP:__________________

Title:_________________ Title:________________________ Title:_____________________


*Make facsimiles of entry tags if needed.

The Division of Continuing Studies has been able to keep fees low for continuing education classes due to partial state support.
The recent state budget cuts regrettably mean we must raise fees to continue the level and quality of programs our clients expect.
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