Art at the Heart Exhibitor Registration Form 2018

Thank you for your interest in exhibiting at Art at the Heart. Please complete the form below.

1 - Your details

First Name

Last Name

Address 1

Address 2

Town

Postcode

Email Address

Phone Number

2 - Your creative work

Brief description of your creative work

Please tick relevant boxes and give details of work to be exhibited:

Hung art work

Hung art work - Exhibitors are limited to five pieces of hung artwork. Please list below in order of preference for display. Please include general sizes, price and any special display requirements. Only one piece should be over A1 size.

Hung art work 1 (if applicable)

Hung art work 2 (if applicable)

Hung art work 3 (if applicable)

Hung art work 4 (if applicable)

Hung art work 5 (if applicable)

Browser

Browser - Exhibitors are limited to five pieces of browser artwork.

Table Top

Table Top – Please give details of type of work below.

Please give details of your table top work (if applicable)

Upon completion of this form please make payment of your registration fee(s), as detailed on the Exhibitor Guidelines, by Monday 11th June.

Payment

I will be paying via BACS
I will be paying by cheque

Data Protection: The Hospice of St Francis will process your personal data for the purpose of communicating with you about your Art at the Heart application.

We would like to keep in contact about upcoming news, events and fundraising activities using the contact details you have supplied above. We will never sell or swap your details with anyone.

If you would prefer not to receive information by post, please tick this box.
Email is the easiest and cheapest way for us to contact you. To receive information by email, please tick this box.
I am happy to be contacted by the Hospice Communications Team about my involvement in this event.

You can unsubscribe at any time by emailing donations@stfrancis.org.uk

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