Entry Form_nargs 2010

ENTRY

FORM (PLEASE

RETURN BY

MAY 31, 2010)

NARGS 2010 July 10, 2010 – Mitchell Hall, Denver Botanic Gardens (Please turn in by May 31st, and attach a copy behind you submission)

ARTIST NAME:_______________________________________________________________ ADDRESS:__________________________________________________________________ CITY:___________________________________ _______________ ZIP CODE: ________________

STATE: PHONE:______________________________

E-MAIL:____________________________________________________________________ ARTWORK TITLE/LATIN NAME_________________________________________________ _______________________________________MEDIUM:____________________________ FOR SALE: ❑ YES ❑ NO PRICE: $ _________ I hereby freely grant Denver Botanic Gardens and its representatives permission to hang the above named artwork during the NARGS 2010 exhibit at Denver Botanic Gardens and permission to publish photographs taken of my original artwork for editorial, advertising, commercial, educational or display purposes.

_______________________________________ Signature

_______________ Date