2019 Annual Art Exhibit Sign Up
Thank you for your interest in participating in the 2019 Piqua Arts Council Annual Art Exhibition. By signing this form you agree to our hold harmless agreement.
First Name
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Last Name
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Street Address
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City
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State
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Zip
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Email
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Phone
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Title 1
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Medium 1
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Category 1
Price
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Title 2
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Medium 2
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Category 2
Price 2
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Will you be attending the Awards Reception? (It is okay to change your mind, just let us know if you do) *
If you are bringing guests, how many will you be bringing?
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