Third International Art Prize ARTE LAGUNA Painting Section

“Third International Art Prize ARTE LAGUNA” – painting section

To be sent to:

STUDIO ARTE LAGUNA Via Roma, 29/A - 31021 Mogliano Veneto (TV) - ITALY

Deadline: 28th August 2008

"------

Application form (it MUST to be attached to the biography)
I send my request of application to the
Third International Art Prize ARTE LAGUNA
PAINTING SECTION
Name ______
Surname ______
Place and date of birth ______
Residence:
Address ______
City ______
Zip code ______
Tel ______
Cell ______
E-Mail ______
Web Site ______
Art work 1
Details:  oil  acrylic  watercolor  other
Title ______
Measurements ______
Technique, support ______
Date of realization ______
Price ______
Art work 2
Details:  oil  acrylic  watercolor  other
Title ______
Measurements ______
Technique, support ______
Date of realization ______
Price ______/ I attach:
□ Picture/CD
□ Copy of payment
I paid the application fee of € ______as requested by the regulation in date ______
by:
 paying-in slip c/c n. 80409584
 bank transfer c/c n. 80409584 ABI 07601 CAB 12000
 bank check
 personally at Arte Laguna snc
I wish to receive:
 Participation diploma
 Catalogue
I accept:
1- all the norm of the Regulation of the Prize published at www.artelagunaprice.com.
2- to give Arte Laguna the right of replication of the works and text for the realization of the Catalogue, the archive of entries, the publication on-line of the artworks and other forms of communication and/or organization activities.
3 – gives the Cultural Association MoCA and Arte Laguna the authorization to the treatment of the personal data according to the law on the privacy (Legislative Decree n° 675/96 and n° 196/2003).
- The participation to the prize implies the knowledge and the total acceptance of this regulation.
Date ______
Sign______
Space reserved to the organization______