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ENTRY FORM – PIECE #1 (Attach to back of artwork)                       
ECAG Christmas on the Coosa 2009     
ARTIST_________________________________________                              
ADDRESS_______________________________________                               
________________________________________________                                         
EMAIL__________________________________________                                        
HOME PHONE____________________________________                                            
CELL PHONE_____________________________________                               
TITLE OF WORK__________________________________                                          
MEDIUM_________________________________________                                            
PRICE____________      

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ENTRY FORM – PIECE #2 (Attach to back of artwork)  
ECAG Christmas on the Coosa 2009             
ARTIST_________________________________________                              
ADDRESS_______________________________________                               
________________________________________________                                         
EMAIL__________________________________________                                        
HOME PHONE____________________________________                                            
CELL PHONE_____________________________________                               
TITLE OF WORK__________________________________                                          
MEDIUM_________________________________________                                            
PRICE____________      
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GIVE THE INFO BELOW TO REGISTRATION DESK

ARTIST_________________________________________                              
ADDRESS_______________________________________                               
________________________________________________                                         
EMAIL__________________________________________                                        
HOME PHONE____________________________________                                            
CELL PHONE_____________________________________   

Entry #1                          
TITLE OF WORK__________________________________                                          
MEDIUM_________________________________________                                            
PRICE____________      
Entry #2                      
TITLE OF WORK__________________________________                                          
MEDIUM_________________________________________                                            
PRICE____________      

 I have read and understand the Rules of the Exhibit and agree to said rules.
_______________________________________________(Artist Signature)
_____________________________________ will pick up my artwork.

ENTRY FEE   ($6  PER PAINTING) [______]   MEMBERSHIP DUES ($25)  [______]