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OryCon 21 Art Show Registration ORYCON 21 ART SHOW REGISTRATION FORM Artist Name ________________ Agent Name _________________ Address ____________________ Address ____________________ ____________________________ ____________________________ Phone (day) ________________ Phone (day) ________________ Phone (evening) ________________ Phone (evening) ________________ Best time to call: _________ Best time to call: _________ e-mail address: ________________ e-mail address: ________________ Status: Amateur Professional Make checks payable to: _____ My art will arrive with: me / my agent / by mail / by UPS / by Fed-Ex / by _____________________ Please return artwork to: me / my agent / by mail / by UPS / by Fed-Ex / by _____________________ Please provide a brief description of your artwork, such as pen & ink astronomical, watercolor horror, stained glass robots, Lucite masks, Minbari head crest decorations, etc. ________________________________________________________________________________ ________________________________________________________________________________ I wish to reserve the following space (maximum total of 3 panel and/or table units per artist. 2 panel and/or table units for those artist who have a Dealers Table). _____ panels (4' x 4') at $10 each totaling: $ ________ _____ table units (4' x 2½') at $10 each totaling: $ ________ "Print Shop" - a maximum of 20 pieces per artist at $2.00 per artist. ($2.00) I am sending my artwork by mail/UPS/etc. Enclosed is the handling fee of:($15.00) Total amount enclosed for art show reservations, handling and postage (& memberships) $ _____ Please make checks payable to OryCon 21. Please do not send cash. Please check all appropriate items, use the space below to be specific and attach extra sheets if needed. __ I will allow credited press photography of my artwork. [No photos without your permission.] __ I will allow the OryCon 21 Art Show to give my address to buyers requesting it at the Art Show. __ I will allow the OryCon 21 Art Show to share my address with other conventions. __ I would like to help with the Art Show during the convention. __ I will be bringing display cases for my 3-dimensional artwork and/or jewelry (highly recommended). __ I have special display needs for my artwork-floor space, electricity, etc. Please specify below. __ I am interested in participating in art-related programming-panels, workshops, demonstrations. If you have any questions or comments, please feel free to include them with this form. Please return this form along with your payment to: OryCon 21 Art Show c/o Lacey Axmaker OryCon 21 PO Box 5703 Portland, OR 97228-5703 REMINDER: THIS RESERVATION FORM WILL NOT BE ACCEPTED WITHOUT YOUR SIGNATURE ON THE RELEASE FORM . PLEASE PRINT THAT FORM AS WELL. THANK YOU. Proceed to the Release Form Return to the OryCon 21 Home Page
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