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Name
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Address |
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City |
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State |
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Zip Code |
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Telephone |
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[_]
Professional |
[_]
Amateur |
E-Mail
Address |
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I have read and accept the
rules regarding the display and sale of artwork at ARISIA'08. |
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Signature |
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Date |
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Number of Panels* for Flat Work |
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X |
$28/Full $14/Half $7/Quarter |
= |
$ |
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Number of Tables* for 3-D Work |
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$ |
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* Maximum of 2 panels and tables per
artist, TOTAL |
Mail-In Handling Fee ($15) |
$ |
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Total Reservation Fees |
$ |
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Full payment MUST accompany reservation!
[_] Check Enclosed (Please make checks payable in US Funds to ARISIA '08.)
[_] Please
charge my:
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MasterCard |
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Visa |
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Discover
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American
Express |
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Card
Number |
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Expiration
Date |
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Signature |
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Please
indicate special display requirements on separate sheet. |
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Will
you have prints in the Print Shop? |
[_]
Yes |
[_]
No |
Number
of display copies |
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Will
you be attending ARISIA '08? |
[_] Yes |
[_]
No |
[_]
Undecided |
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Agent’s
Name |
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Address |
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City |
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State |
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Zip Code |
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Telephone |
( ) |
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Pay
sales receipts to |
[_]
Artist |
[_]
Agent |
E-Mail
Address |
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I authorize the person
specified above to act as my agent on my behalf at ARISIA '08. |
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Signature |
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Date |
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If you will
need hardcopy forms, please check here ___
All forms will be available
on the
arisia website (www.Arisia.org).
Please
return this form and payment
before November 15, 2007 to:
Arisia '08 Art
Show
PMB 322, Building 600
One Kendall Square
Cambridge MA 02139
E-mail:
artshow@arisia.org