3rd Annual Art & Photo Show
Abraham Lincoln or
Artists and photographers are highly encouraged to bring their own easels for display.
City _________________________________ State __________ Zip Code _________
E-mail Address ______________________________
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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