The Guild of Creative Art Monthly Online Bulletin

Guild of Creative Art - 20th Annual Open Juried Show
Registration and Release Form
Pre-Registration and Release Form - Every effort will be made to handle your artwork carefully, but the Guild of Creative Art specifically disclaims any liability
for loss, damage or theft of any artwork exhibited or stored on its premises. Artists are responsibly for insuring their own work from delivery to pick-up and
return to artist. The submission of any artwork to this show demonstrates agreement on the part of the participant to all conditions in the prospectus.
No submission will be accepted without a title and a selling price.
Your registration is not valid until we receive both this form AND your payment by the deadline date of Sept. 21, 2012.
An asterisk (*) indicates a required field. Current Date: _________________
Please print legibly.
Last Name*____________________________________________ First Name*_____________________________________________
Street address*____________________________________________________________________________________________________
City*__________________________________________________ State*______________________ Zip code*__________________
Phone number (Enter your ten digit phone number
without parenthesis, hyphens or spaces(ex: 1234567890)__________________________ Email address:___________________________
Artwork #1 Title (55 character limit)* _____________________________________________________________________________
Medium (25 character limit)*__________________________ Category* Selling Price*___________________________
For example: Oil, Watercolor, Photo, Wood, Glass
Artwork #2 Title (55 character limit)* _____________________________________________________________________________
Medium (25 character limit)*__________________________ Category* Selling Price*___________________________
For example: Oil, Watercolor, Photo, Wood, Glass
Artwork #3 Title (55 character limit)* _____________________________________________________________________________
Medium (25 character limit)*__________________________ Category* Selling Price*___________________________
For example: Oil, Watercolor, Photo, Wood, Glass
Enter the amount of the entry fee you will be submitting based on the following:
Guild members (2012 dues paid): $15 for one entry, $25 for two entries, $35 for three entries
Non-members: $25 for one entry, $35 for two entries, $45 for three entries
Would you like to become a Guild General Member and pay your $30 Yes
membership fee with your entry fee? If yes, enter the appropriate Members No Entry fee*__________________________
Entry Fee plus $30 and darken the Yes box.
Note: If you are a Guild member who has not yet paid 2012 dues, darken the
NO box and pay your dues separately. If you pay the member entry fee but fail
to pay your 2012 dues by the receiving date, your submission will be rejected. Total due: $
How did you find out about this show? (Circle one)
Guild bulletin, Guild email, Guild website, Facebook, Google+, Linkedin, Newspaper, Friend,
Other________________________
Artist’s signature_________________________________________________
Submittal Instructions
After completing this form, sign where indicated.
Then mail or bring the form and payment together to the address below. Do not mail cash.
Guild of Creative Art, 620 Broad Street, Shrewsbury, NJ 07702
For additional information call 732-741-1441
If you provided your email address above and have not received an acknowledgment email by September 25, 2012,
contact the Guild at 732-741-1441.
Your registration is not valid until we receive both this form AND your payment by the deadline date of September 21, 2012.