Entry Form (Photocopy this form for additional entries)

Fraser Gallery - 2006 International Fine Art Exhibition

7700 Wisconsin Avenue, Suite E� Bethesda, MD 20814 � (301) 718-9651 � [email protected]

Deadline is 19 May 2006

Artist___________________________________________________________________________________________________

Last Name (Family name), First Name

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Street Address________________________________________________________________________________________________

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�________________________________________________________________________________________________________

City, State, Zip/Post Code, Country

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Phone____________________________________________________________________

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Email_____________________________________________________________________�

ENTRIES

1. Title__________________________________________________________________________________________

Media______________________________Size ________________ Price _______________

2. Title__________________________________________________________________________________________

Media______________________________Size ________________ Price _______________

3. Title__________________________________________________________________________________________

Media______________________________Size ________________ Price _______________

Agreement: Submission of any entry confirms agreement to conditions set forth in prospectus

Juror Notification Form � Fraser Gallery - 2006 Annual International Fine Art Exhibition

Artist__________________________________________________________________________________________________________________

Address________________________________________________________________________________________________________________

Phone: __________________________ Email: _____________________________

Entry 1 _____________________________________________________________ A � N/A

Entry 2 _____________________________________________________________ A � N/A

Entry 3 _____________________________________________________________ A � N/A

Entry Labels (Attach to back of Accepted Entries Prior to Shipping)

ENTRY ONE

Artist Name:

Entry Title:

Size:

Media:

Price:

ENTRY TWO

Artist Name:

Entry Title:

Size:

Media:

Price:

ENTRY THREE

Artist Name:

Entry Title:

Size:

Media:

Price:

Entering this exhibition shall constitute understanding and agreement on the part of the artist with all the conditions stated in the prospectus. Send entry fee of $25, this printed and filled entry form, slides and (if U.S. entry) a business sized SASE (for notification and return of your slides - international entries send a self addressed envelope) to arrive no later than 19 May 2006 to:

Fraser Gallery
2006 Annual International Fine Art Exhibition
7700 Wisconsin Avenue, Suite E
Bethesda, MD 20814

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