Art Show Entry Form

Print this form.  Fill out and return with photos and check to:

C/O Westlake-Westshore Arts Council

1415 Prince Charles Avenue

Westlake, Ohio 44145

Please print:

Name _____________________________________________________________

Address  ___________________________________________________________

City  ____________________________ State ______________ Zip ___________

Phone  ( ________) ________ - ____________

E-mail _____________________________________________________________

Category ___________________________________________________________

Number of Entries _______________

Entry Fee (For up to three entries):

________ $20 - for Paid W-WAC Members

________ $30 -  for Non-Members

________ $45 - Includes Entry Fee plus One-Year W-WAC Membership

                        ________ New Member or ________ Renewal

Artist's signature acknowledges agreement with entry conditions:

Signature _____________________________________________

Date _____________________________