Open Exhibition Entry Form 17th Annual Open Exhibition, 11th June – 23rd July 2016 St. Barbe Museum & Art Gallery, New Street, Lymington SO41 9BH PLEASE READ THE CONDITIONS OF ENTRY CAREFULLY AND USE BLOCK CAPITALS Title First Names Surname Address & contact details Address: Postcode: Telephone No: E-mail: Museum use only No. Medium: (oil, watercolour, acrylic etc.) Title: Price: (framed) 1 2 No. of works (maximum 2) @ £6.50 each (£3 student) (Cheque payable to Lymington Museum Trust) Total entry fee £ I agree to abide by the conditions of entry for the Open Exhibition and will undertake to submit and collect work at the stated times. Artist’s Signature: Please tick here as applicable: Student □ Non-professional artist □ VAT registered □
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