VII^ Edition Contemporary Mosaic

PALAZZO MEDICI RICCARDI FIRENZE

Galleria Medicea Carrozze 02 –26 febbraio 2018

FORM

Name Surname
City Province Nation
Via n. P Code
E-Mail: @ www.
contact Phone-WA +
You authorize the sale □ YES □ NO
Title year price requested € (euro )
Title year price requested € (euro )

Size works max 100x80 (100x100 on shipping evaluation).

For the selection of the work send max of 3 photos in high definition with short accompaniment text in italian / english max 150 bars for publication on official catalog, press releases and promotion.

The work to be exhibited must arrive by 28/01/2018 to be exhibited in the "Galleria Carrozze" Palazzo Medici Riccardi Via Cavour 5 50129 FLORENCE and retired on 27 and 28 February 2018.

Shipment packing and withdrawal: exclusively through MBE-MAIL BOXES Etc Torino who will perform all the withdrawal shipment stages directly with the artist, with a unique and unique worldwide AIG Insurance Service (up to € 4,000 for theft or damage with only a certificate of value certification).

The selected artist should only address the MBE +390117934082 for all transport operations, packaging, document works and insurance coverage, withdrawal and delivery to the artist.

A catalog containing the photo of the participating artist at © MUSIWA 18 and WA©RT18 will be produced.

By authorizing the sale of the work and the artist's promotion at the asking price, WA MUSIWA will retain a 30% share as a voluntary contribution to the association and this is valid for authorization and release for sale and publication.

Selected Artists are asked.:

Euro €¨ 200 - ©MUSIWA18 as a contribution secretarial promotion and catalog creation.

Method of payment: Bank transfer o PayPal :

UNCRITM1POG ABI: 02008 BIC Swift: UNCRITM1 Agenzia: POGGIBONSI GRAMSCI 00537

IBAN: IT 61 X 02008 71941 000401410204 intestato a: WORLDAFRICA ASSOCIAZIONE

PayPal.me/Musiwa ON LINE www.musiwa.org

I, the undersigned, view the above mentioned information expressly consent to the processing of the personal data concerning it referred to in Art. 4, subsection 1, letter DDL 196/2003 for the purposes and in the abovementioned methods, also for the purpose of communication thereof .Authorizes exposure, publication, and sale with reference to the required value, on which 30% will be retained in case of sale as a voluntary contribution to WA Musiwa Association

Date and signature ______

I, the undersigned, hereby declare to waive, in any event, any and all liability of the WA Musiwa Organization and the venue where the works are exposed, for theft and / or damage and for any prejudicial fact that the goods exhibited, / dismantling, transportation (round-trip) storage and more, that occur at the event, by any cause and by anyone and for the effect of waiving any action, reason or right to compensation by WA Musiwa and legal exhibitions.

Date and signature ______

WA © MUSIWA Mosaic Contemporary Art WA©RT +393272032381 www.musiwa.org -