Juried Outdoor Exhibition
Registration Form

PLEASE PRINT LEGIBLY

NAME ____________________________________ PHONE(H) ____________________(W)______________

ADDRESS __________________________________________________________________________________

E-MAIL ____________________________________________ FAX __________________________________

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ENTRY #1

TITLE _____________________________________________ MEDIUM______________________________

WEIGHT ________________________________________DIMENSIONS _____________________________ (HXWXD)

Installation Requirements______________________________________________________________________

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ENTRY #2
TITLE ____________________________________________MEDIUM _______________________________

WEIGHT ________________________________________ DIMENSIONS ____________________________(HXWXD)

Installation Requirements _____________________________________________________________________



___________________________________________________________________________________________
ENTRY #3
TITLE ___________________________________________ MEDIUM ________________________________

WEIGHT ________________________________________ DIMENSIONS _____________________________(HXWXD)

Installation Requirements ______________________________________________________________________



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THIS FORM, DIGITAL OR PHOTOGRAPHIC IMAGES LABELED WITH YOUR NAME, TITLE, MEDIUM, INSURANCE VALUE, DIMENSIONS, WEIGHT AND YOUR ANCHORING SYSTEM PROPOSAL MUST BE RECEIVED BY PAUL HUBBARD BY MAY 16. THIS DEADLINE IS FIRM.