Wester 56 Art Show Registration Form

WESTER 56 (JULY 3-6 2003) ART SHOW REGISTRATION FORM

Artist Name____________________________	Agent Name_______________________________
Address_______________________________	Address__________________________________
_____________________________________	_________________________________________
Phone (day)____________________________	Phone (day)_______________________________
(evening)______________________________	(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, or by ____
Please return artwork to: me; my agent; by mail, by UPS, by Fed-Ex, or 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 $15 each totaling:	$________
_____ table units (4' x 2½') at $15 each totaling:	$________
"Print Shop" a maximum of 20 pieces per artist at $5.00 per artist.($2.00)	$________
I am sending my artwork by mail/UPS/etc. Enclosed is the handling fee of:($15.00)	$________
I have enclosed payment for membership in Wester 56 ($50 for attending artist membership)	$________
Total amount enclosed for art show reservations, handling and postage	$________

Make checks payable to Wester 56. 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 Wester 56 Art Show to give my address to buyers requesting it at the Art Show.
______ I will allow the Wester 56 Art Show to share my address with other conventions.
______ I would like my e-mail address/website posted on the Wester 56 Art Show website.
______ 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:
Wester 56 Art Show c/o Lisa Axmaker 13810 SW Fanno Creek Dr. #4 Tigard, OR 97223
REMINDER: THIS RESERVATION FORM WILL NOT BE ACCEPTED UNLESS ACCOMPANIED BY A SIGNED RELEASE FORM. THANK YOU.