Entry Form for No Holds Barred

No Holds Barred Exhibit

At the

New England Quilt Museum Lowell, Massachusetts

 

Entry Form

Please submit one entry form for each submission

 

Name: _________________________________________________________

 

Street

Address: _______________________________________________________

         ________________________________________________________________    

Town/City: ______________________________________State_______Zipcode__________

 

 

Telephone: ______________________________________________

 

E-mail address for notification:

 

_____________________________________________

 

Title of Quilt:

_____________________________________________________________

 

Size: (width x height)_____________________________________________________

 

Materials and techniques_________________________________________

 

______________________________________________________________

 

______________________________________________________________

 

______________________________________________________________

 

______________________________________________________________

 

______________________________________________________________

 

 

 

If my work is accepted for this exhibition I agree to loan my artwork to The New England Quilt Museum. I understand that the costs of insuring and shipping my artwork are my responsibility: I further agree to permit the images or detail images and/or all or part of my artist's statement to be used in the exhibit catalog, articles, ads, promotions, books, websites, blogs, CD's, current event news coverage, television productions, and/or multi-media productions for and about the exhibit or for and about the shows at which the exhibit may be seen.

 

 

Please print & sign your name below

 

 

 

 

A check or money order for $30 should be made out to New England Quilt Museum and sent with the images on a CD (directions found on the blog) to:

 

NEQM

No Holds Barred

18 Shattuck Street

Lowell, MA 01852

 

Deadline is November 1, 2010.

Notification will be by email on or about Nov. 20, 2010

 

 

Please type an artists' statement (your bio or background info) on this sheet or a blank page (up to 75 words)