StlBJDcon 2015 Art Show Registration Form

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Name of Artist: *

Your preferred Email address: *

Your phone number:

Your address: *

Number of expected entries: *

Titles and Sizes of Entries, if known: *

I/We give St. Louis BJD Convention and its designated representatives permission to photograph and/or videotape my entry as part of post-convention promotion. My entry may also be photographed or video taped for personal enjoyment only by members of the St. Louis BJD Convention. *

I agree to the above terms

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