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3rd Annual Art & Photo Show

Logo of Lincoln Highway art

Lincoln Highway
Route 66
Dixie Highway
Abraham Lincoln or
Ronald Reagan

Artists and photographers are highly encouraged to bring their own easels for display.

Name __________________________________

Address _______________________________________________

City _________________________________ State __________ Zip Code _________

E-mail Address ______________________________

Telephone _______________________

I would like to exhibit or sell my artwork related to Lincoln Highway, Abraham Lincoln, Ronald Reagan, Route 66, and/or the Dixie Highway.

__ I will bring my own easels to display my work

__ I will need table space to display my work

__ My sculpture is free standing

My work is ________ feet wide and _______ tall

Please describe your work (photo, media, etc.):


The subject is:

__ Lincoln Highway

__ Abraham Lincoln

__ Ronald Reagan

__ Route 66

__ Dixie Highway

__ I will display my work Wednesday evening only (set up 6:00 p.m., take down 9:30 p.m.)

__ I will display my work for the whole conference (set up Tuesday 4:30 p.m., take down Friday 4:30 p.m.)

If displaying more than one item, please submit one form for each item.

WAIVER OF LIABILITY (required) I understand and agree that the Lincoln Highway Association, the Illinois Chapter of the Lincoln Highway Association and/or its officers, directors, and members shall not have responsibility or liability, in whole or in part, for any loss, damage, or injury to person or property, or any act of omission resulting from arising out of, or occuring during any activity, service, or facility funished or supplied in conjunction with the 2010 Lincoln Highway Association Conference and/or the Art & Photo Show in Dixon, Illinois. I understand I am responsible for retrieving my artwork by the time indicated on this form.

Signed _________________________________________ Date ___________________

Thank You for Your Interest!!

Complete this form and mail it by Friday, June 11th, 2010 to:

Kay Shelton, Illinois State Director
Art & Photo Show
1006 N. 15th St.
DeKalb, IL 60115

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