ARTIST___________________________________________________________
ADDRESS_________________________________________________________
CITY_______________________________STATE__________ZIP____________
EMAIL_______________________WEBSITE_____________________________
AGENT (IF NEEDED)_________________________________________________
| Check one: | [ ] | PROFESSIONAL | [ ] | AMATEUR |
| [ ] | ATTENDING | [ ] | SHIPPING |
| # of 4' X 4' PANELS @ $10.00 | $____________________ | |
| # of 6' TABLES @ $10.00 | $____________________ | |
| # OF FULL MEMBERSHIPS
(SEE FLYER FOR RATE) |
$____________________ | |
| TOTAL ENCLOSED | $____________________ |
I, the undersigned, understand that my signature on this form means that I understand and
agree to all conditions listed on the Artists Information Armadillocon 22 Web Page.
SIGNATURE_______________________________________________________
DATE SIGNED_____________________________________________________
| Sign and mail this agreement with a check or money order to: | |
| ArmadilloCon P.O. Box 27277 Austin, TX 78755 |
|