Chocolate Factory Open Studios 2011 Saturday & Sunday 12/13 November from 12-6pm, Private View 11 November, 6-9pm
Artist Registration Details Open Studios 2011 1) Please write details clearly as you wish them to appear on publicity materials Name ________________________________________________________________ Art form_______________________________________________________________ Contact information: Studio number and location
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Phone
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________________________________
Website
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2) I have an up-to-date artist profile on the Chocolate Factory Artists website Yes
No
please circle as appropriate
3) I wish to register for Open Studios 2011 and have enclosed a payment of ÂŁ85 Signed:
______________________________
Date:
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Please return this form with registration fee to: Collage Arts, 2nd floor, Chocolate Factory 2, 4 Coburg Road, London N22 6UJ by Friday 3rd June 2011
OFFICE USE ONLY Date & amount paid:
Receipt no:
Signed: