Member Artist All Media Exhibit Entry Form

Please print the form and mail to:
Shiawassee Arts Council
206 Curwood Castle Dr.
Owosso, MI 48867

To enter, please complete and return form to SAC no later than March 31, 2007

____ Yes, I plan to enter the SAC 10th Annual Member Artist Exhibit

____ I am a current SAC artist member ($25 artist level or above)

Remember that $25 artist members are eligible for a 65%/35% commission rate. Non-members and members at less than $25 eligible for a 50%/50% rate.

____ I would like to renew my artist membership

Name _______________________________________ Phone ___________________

Address _____________________________________ City ___________ Zip ______

E-mail Address _______________________________ Medium _________________

Title of Artwork ______________________________ Price ____________________

Please provide a short bio (3-4 sentences) that will be displayed next to your artwork