|
VLEPO GALLERY
2005
ENTRY FORM
(to be retained by Vlepo Gallery
Name_______________________________________
Address_____________________________________
City/State/Zip________________________________
Day Phone_____________ Evening Phone____________
Email ___________________________
Number of slides enclosed _______Fee enclosed_________
Signature _________________________________________
Title #1________________________Price_________
Medium/Dimensions____________________
Accepted_________Not Accepted_____________
Title #2________________________Price_________
Medium/Dimensions____________________
Accepted_________Not Accepted_____________
Title #3________________________Price_________
Medium/Dimension____________________
Accepted_________Not Accepted_____________
DEADLINE FOR ENTRY SUBMISSION
MARCH 18, 2005
Mail Entries to:
Vlepo Gallery
2 st ANNUAL JURIED SHOW
36 Richmond Terrace
Staten Island, NY 10301
|
Catalogue and File Copy
Title#1________________________Price_________
Medium/Dimensions____________________
Accepted_________Not Accepted_____________
Title#2________________________Price_________
Medium/Dimensions____________________
Accepted_________Not Accepted_____________
Title#3________________________Price_________
Medium/Dimensions____________________
Accepted_________Not Accepted_____________
Name___________________________
Address______________________________
City/State/Zip____________________________
Day Phone_____________ Evening Phone____________
|
| 
