Registration form: Complete the form on the computer we ... - Visarte

<strong>Registration</strong> <strong>form</strong>:Please type this <strong>form</strong> on <strong>the</strong> computer, we do not accept handwritten <strong>form</strong>s to avoidmisunderstanding.Sex, Drugs & Rock’n Roll... VICES OR LIFESTYLE ?<strong>Registration</strong> no: (to be completed by <strong>the</strong> organisation) ____________________Artist Name:Company/Studio Name:Address:Postcode/City:Country:Telephone:Email:Fax:Website:Title:Please check as appropriate:0 ring0 brooch0 bracelet0 necklace0 o<strong>the</strong>rDimensions:Media/Materials used:Description of piece:Technical description:Source of Inspiration: (use additional page if you need more space)

Page 2....The undersigned declares to have taken note of and to be in agreement with <strong>the</strong> terms of <strong>the</strong>contest as outlaid in <strong>the</strong> Open Call for Artists.Location: ______________________________________________Date: _________________________________________________Signature: _____________________________________________Please forward this <strong>form</strong> (both pages) with all necessary documentation (photos, CV, info about <strong>the</strong>artist, design <strong>form</strong>) via email, and toge<strong>the</strong>r your payment of $25 via paypal on or before February 1,2012.Send to: vices.lifestyle@gmail.comApplications that reach us after Feb 12, 2012 cannot be considered.