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1st Northern Ireland International Small Print Exhibition

ENTRY FORM FOR PHASE 1

 

 

NAME:__________________________________________

Last Name First Name

 

 

NATIONALITY______________________________

DATE OF BIRTH_______________________

 

ADDRESS:

 

 

 

 

 

 

 

 

 

DETAILS OF SLIDES:

SLIDE 1 : TECHNIQUE(etching, lithograph..)________________________________

TITLE SIZE OF IMAGE PRICE

H x W CM (in your own currency)

 

 

 

 

 

SLIDE 2 : TECHNIQUE(etching, lithograph..)__________________________________

TITLE SIZE OF IMAGE PRICE

H x W CM ( in your own currency)

 

 

 

 

 

SLIDE 3 : TECHNIQUE(etching, lithograph..)__________________________________

TITLE SIZE OF IMAGE PRICE

H x W CM (in your own currency)

 

 

 

 

 

SLIDE 4 : TECHNIQUE(etching, lithograph..)___________________________________

TITLE SIZE OF IMAGE PRICE

H x W CM (in your own currency)

 

 

 

 

 

SLIDE 5 : TECHNIQUE(etching, lithograph..)__________________________________

TITLE SIZE OF IMAGE PRICE

H x W CM (in your own currency)

 

 

 

 

 

SLIDE 6 : TECHNIQUE(etching, lithograph..)__________________________________

TITLE SIZE OF IMAGE PRICE

H x W CM (in your own currency)

 

 

 

 

BIOGRAPHY:

 

 

 

 

 

EXHIBITIONS:

 

 

 

 

 

AWARDS:

 

 

 

 

 

SIGNATURE DATE

Deadline for submission of slides is 31st May 1998
Return to:
1st Northern Ireland International Small Print Exhibition
The Townhouse Gallery
125 Great Victoria Street
Belfast BT2 7AH
Northern Ireland


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