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Art Show Application

Please fill out the fields below to apply to for the Anime Boston 2014 Art Show.

* = Required information

First Name: * Must be your real first name
Last Name: * Must be your real last name
Email Address: *
Confirm Email Address: *
Phone Number & Type: * Home   Mobile   - Please enter a mobile number if possible
Numbers only, no letters or characters
Mailing Address: * This is the address we would ship your reimbursement check to.
Address 1:
Address 2:
City: State:
Zip Code:
Country:
Space Type: * Which type of space do you want?
Pieces: * How many pieces do you want to register?

Piece 1: *

Piece Name: *
Not For Sale:Check if the piece is not for sale
Starting Bid Price: *   Not required if not for sale.
Buyout Price:
Convention Registration: * Are you registrated for the convention?
Yes   No