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Entry Form
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Artists Name____________________________________________________
Mailing Address:
City ________________________________________________________________________________________________________________
State__________________________________________________ Zip_______________________________________
Phone__________________________________________________________
E-mail__________________________________________________________
1.
Title____________________________________________________________________________________________________________________
Medium____________________________________________________________________________________________________________
Size (hxwxd)_____________________________________________________________________________________________________
Sale $_________________________Ins. Value (NFS) $____________________
2.
Title_________________________________________________
Medium____________________________________________________________
Size (hxwxd)________________________________________________________
_
Sale $____________________________Ins. Value (NFS) $__________________
Mail to:
Jim Sullivan
1921 Joy Ridge Rd.
Occidental, CA 95465 E-mail