City of Parramatta Art Society Inc . 2011 Foundation Week Open Arts Award             
                                        ENTRY  FORM
 
Name          : ..................................................................................................................
 
Address      : ..................................................................................................................
 
Email          : ..................................................................................................................
 
Phone         : ........................................ Mobile: ............................................................
 
I agree to abide by all conditions of entry to this art award.
 
Exhibitors signature:............................................ Date : ...................
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   Fee Received :   $_______________    Sign : _________________