Registration Form

YOUR NAME ________________________________________________

TITLE OF WORK _____________________________________________

MEDIA  __________________________ PRICE (OR NFS) ____________

YOUR EMAIL  ________________________________________________

Please consider for special award category: ____ Small works (designated works will also be eligible for all other awards.)

Affix this copy to the back of the artwork.

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NAME _________________________________________________

TITLE OF WORK  ______________________________________________

MEDIA ______________________  PRICE (OR NFS) _________________

YOUR EMAIL  _________________________________________________

Please consider for special award category: _____Small Works (designated works will also be eligible for all other awards.)

Present this copy to the check-in committee.

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