| 2005 Broken Fence Society Annual Juried Environmental Show - Entry Form | ||
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Maximum two entries - Same fee for one or two entries - cheque must accompany entry form |
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Please print clearly |
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| First name: | ||
| Last name: | ||
| Address: | ||
| Postal Code: | Phone # and area code: | |
| E-mail: | ||
Title of first piece: |
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| Medium: | ||
| Size: | Price (or indicate not for sale): $ | |
Title of second piece: |
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| Medium: | ||
| Size: | Price (or indicate not for sale): $ | |
| $45 entry fee - Make cheque payable to The Broken Fence Society - no post dated cheques | ||
| Send entry form and cheque to: The Broken Fence Society 727 Queen Street East Toronto, Ontario M4M 1H1 |
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| Conditions of Entry | ||
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