“Bag it!”
Exhibition
Application Form
Please
circle your answer.T
How
many paintings (if in series): ______ Size
of the work _____ mm (H) x _____ mm (W)
Medium:
____________________________________
2D / 3D work
For
Personal
Details
Name:
__________________________
Sex:
Male / Female
Birth
Date: ________________(MM/DD/YY)
Address:
__________________________________________________________________
Contact
No: ___________________
E-mail
address: _____________________________
Work
Title and Description
Title
of the work:
___________________________________________________________________
Comments
on the work:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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