Application for "Ab Origine"

Please print out and bring this form with your artwork

Phone Graham Smith, 613-230-4314 or kitemachine@gmail.com for more details.

Our Third Year - Noon, Saturday 23 April, 2010 to 4 p.m. Sunday 9 May, 2010
(Show times are usually Weekends Only between Noon and 5 p.m. except by special arrangement, please inquire.)

Name:

Age:

Parent's Signed Permission:

Address:


City:

Postal Code:

Titles:   (maximum two)





Medium:

Overall size including frame: