Artist Name / a.k.a.: __________________________________
Contact Name: _________________________ Title: _________________________________
Address:_____________________________________________________________________
City: ______________ State: __________ Zip: ____________
Phone: (_______) _____________ Fax: (________) ____________
E-mail: ________________________________ Web site: ______________________________
Type of Merchandise: _________________________________
Number of Panels ________ @ $5/$10 per = $ __________
Number of Adult Panels ________ @ $5/$10 per = $ __________
Number of Tables ________ @ $10/$15 per = $ __________
Number of NFS Entries ________ @ $ 1.00 per = $ __________
Total amount due = $ __________
Artist Agreement:
I/We have read and agree to adhere to the terms stated in the AnimeFest 2013 Art Show
Regulations document. I/We understand that any breach in agreement to comply with
these rules in the appropriate action or the ejection of all members of the company/group/
organization from the convention as a response.
__________________________________ ________________
Signature Date
PLEASE REMIT TO:
AnimeFest
675 N Glenville Dr #165
Richardson, TX 75081
FAX 972-692-5996