Conucopia: Art Show Space Reservation Form                     19990123


                     Conucopia / NASFIC '99

                ART SHOW SPACE RESERVATION FORM

Name: ______________________________________________________________

Address: ___________________________________________________________

____________________________________________________________________

City, State, Zip:___________________________________________________


     Number of table spaces (4' long by 2.5' deep)      _______

     Number of pegboard panels (3' wide by 4' high)     _______

Total number of table spaces and panels_____x $17.50 = $____________

Mail-in and handling fees for mail-in artists $35.00 
                              (mail in artists ONLY)   $____________


                                        TOTAL ENCLOSED $____________

How do you plan on shipping your art? (mail in artists ONLY)

UPS?__________, US mail? _________, Overnight delivery?_____________

Other delivery service? ____________________________________________

Please make checks payable to 'S.C.I.F.I.' and mail to:

             Elizabeth Klein-Lebbink, Jerome Scott
                      Conucopia Art Show
                      1010 E. Acacia Ave.
                      El Segundo CA 90245
                              USA

Notes:______________________________________________________________

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