| Field names marked with an asterisk (*) are required |
| * Registrant Full Name: |
 Registrant Full Name :: Fill in your full name (first and last) |
| * Registrant Passport Number: |
Registrant Passport Number :: Fill in your passport number. We need this for registration confirmation. |
| * Artist Name: |
Artist Name :: Fill in your artist name (first and last) |
| Your country: |
Country Representation :: We use this information for our marketing materials |
| Home Address: |
Registrant Home Address :: Fill in your home street address |
| Home Postal Code: |
Registrant Home Postal Code :: Fill in your home postal code |
| Home City: |
Registrant Home City :: Fill in your home city |
| Home Country: |
Registrant Home Country :: Fill in your home country |
Post Address:
(if different than home address) |
Registrant Post Address :: If you have a different address for your post, fill in your post address |
| Post Postal Code: |
Registrant Post Postal Code :: If you have a different address for your post, fill in your post postal address |
| Post City: |
Registrant Post City :: If you have a different address for your post, fill in your post city |
| Post Country: |
Registrant Post Country :: If you have a different address for your post, fill in your post country |
| * Telephone: |
Registrant Telephone Number :: Fill in your telephone number. Do not forget the correct country code |
| Mobile: |
Registrant Mobile Number :: Fill in your mobile number. Do not forget the correct country code |
| * Email Address: |
Registrant Email Address :: Fill in your email address |
| Website Address: |
Artist Website Address :: Fill in your website address |
| Contact Person: |
Contact Person Full Name :: Fill in full name |
| Contact Person Passport Number: |
Contact Person Passport Number :: Fill in your passport number. We need this for registration confirmation. |
| Post Address: |
Gallery Address:: Fill in your Post Address |
| Postal Code: |
Gallery Postal Code:: Fill in your Postal Code |
| City: |
Gallery City:: Fill in your City |
| Country: |
Gallery Country :: Fill in your country |
| Telephone: |
Gallery Telephone Number:: Fill in telephone number. Do not forget the correct country code |
| Mobile: |
Gallery Mobile Telephone number:: Fill in your mobile telephone number. Do not forget the correct country code |
| Email Address: |
Gallery Email Address:: Fill in your email address |
| Website Address: |
Gallery Website Address:: Fill in your gallery website address |
Photos:
Please upload a minumum of 3 pictures of artwork for use in the europARTexpo brochure, this website and any other promotional material.
NOTE: Please upload pictures in JPEG format with a minimum size of 100 kb (kilobyte) and a maximum size of 2000 kb (kilobyte). |
Upload File 1:: Upload pictures for the europARTexpo brochure and website.
Upload File 2:: Upload pictures for the europARTexpo brochure and website.
Upload File 3:: Upload pictures for the europARTexpo brochure and website. |
About the Artist Text:
Please give us information about the artist for use in the europARTexpo brochure, this website and any other promotional material. |
Artist Text:: Text to be used for the europARTexpo brochure as well as the text for the artist page on the website |
| Artist may request special requirements for the installation of artwork. |
Special Request:: Let us know if you have any special requirements for exhibiting your artwork |
Artists may attach a diagram, photograph or drawing for the installation of artwork which require special attention.
NOTE: Please upload pictures in JPEG format with a maximum size of 2000 kb (kilobyte). |
Special Request Upload File:: Upload a diagram, photograph or drawing in JPEG format |
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* I accept the following terms and conditions:
Terms and Conditions:: Please read the terms and conditions and check the "accept" button |
I declare the above information to be true and hereby agree to the terms and conditions of the europARTexpo. I also agree to take part in the europARTexpo which will be open to the public from Wednesday, the 2nd of September 2009, until and including Sunday, the 6th of September 2009, in Radio Kootwijk, the Netherlands. |
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Are you human?:: Please input the text displayed on the image below. This is done to ensure that you are not a computer!
Are you human? Please input the text displayed on the image above. This is done to ensure that you are not a computer! |
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Closing date: Registration forms with publicity information, (picture of the artist-in-action, artwork and information "about the artist"), must reach us before the end of June 2009, either through this internet-based registration form or addressed to europARTexpo at the following address:
europARTexpo
Turfbergweg 12
7348 BD Radio Kootwijk
The Netherlands
NOTE: The organizers reserve the right to refuse any Artist who has fraudulently submitted work under their own name. The organizers may refuse an entry for any reason. The decision of the organizers is final. |
Registration
