Please Print ALL information LEGIBLY

Artist: Phone (day/eve)

Address: E-mail:

City: St Zip Drop Off Signature x

Entry #1

Entry #2

BIO INCLUDED? ___YES ___NO

Junior Artist Entry #2 Grade / Age

Junior Artist Entry #1 Grade / Age

Art TitleArt TitleArt TitleArt Title JURIEDJURIEDJURIEDJURIED Medium Cat (AMedium Cat (AMedium Cat (AMedium Cat (A----F) PriceF) PriceF) PriceF) Price

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31st Anniversary Members Show

This page is turned in at Registration. DO NOT CUT!

Portfolio #1

Portfolio #2

Portfolio#3

Portfolio# 4

Portfolio # 5

If you have more than Five pieces, please list them on the back

Art TitleArt TitleArt TitleArt Title PORTFOLIOPORTFOLIOPORTFOLIOPORTFOLIO Medium Orig/GicleeMedium Orig/GicleeMedium Orig/GicleeMedium Orig/Giclee Price Price Price Price

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Will Pick-up Art at end of show: ________ If no, print the name of the individual who will:_____________________

Pick-up Signature: ______________________________________________________

Donation to help improve our exhibit space (i.e lighting)

Art Check Out Art Check Out Art Check Out Art Check Out

REGISTRATION / CATALOGUE FORM: PLEASE PRINT LEGIBLY: NAME

ADDRESS

PHONE#

ENTRY #1: TITLE MEDIUM PRICE

ENTRY #2: TITLE MEDIUM PRICE

BIO INCLUDED? ___YES ___NO #PORTFOLIO PIECES___

Name

Phone

Media Price

Entry #1 Title

Name

Phone

Media Price

Entry #2 Title

Entry #1 Please fill out the Entry tags below and attach to your entries.

Entry #2

North Penn Arts Alliance 31st Anniversary Members Show

Registration Form & Tags.

PLEASE ATTACH ONE LABEL TO BACK OF EACH PORTFOLIO PIECE BEING SUBMITTED.

THE LABEL SHOULD BE ON THE OUTSIDE OF THE PROTECTIVE COVER. PLEASE PRINT LEGIBLY!!

Portfolio Pieces

Retain this top part for your records.

This page you can cut and attach the appropriate tags to the entries or portfolio pieces. Keep the top portion for your records. Thank you.

Name Name Phone Phone

Portfolio/Title Portfolio/Title Price Price

Name Name Phone Phone Portfolio/Title Portfolio/Title Price Price

Name Name Phone Phone

Portfolio/Title Portfolio/Title Price Price

Name Name Phone Phone

Portfolio/Title Portfolio/Title Price Price

Name Name Phone Phone Portfolio/Title Portfolio/Title Price Price