Art Show Registration Form Please fill this form out and mail it to us. Our address is: AggieCon Art Show Memorial Student Center, Box J-1 Texas A&M University TAMUS 1237 College Station, TX 77844-1237 If you have any questions, please contact at the above address, by telephone at (979) 845-1515, or via e-mail from our contact page. Name:________________________________________________________ Address:_____________________________________________________ City/State/Zip:______________________________________________ Name of artist, if different from above:_____________________ Social Security Number:______________________________________ (If you have a different tax ID number, you may use that instead. You may give us this information over the telephone or in person if you will be attending the convention. If we do not receive this information from you before the convention is over, your check will be delayed.) Please write the number of panels or tables in the spaces provided. If you mark these spaces with a check mark or an X, we will assume you onlywant one, and that's all we'll reserve. ___ panels @ $5 ___ half-panels @ $3 ___ tables @ $5 ___ half-tables @ $3 ___ I want print shop space in addition to my panels and/or tables. (free) ___ I want print shop space only. ($6) We prefer that you pay for your reservation now, but you may send your payment with your artwork if you wish. Signature:___________________________________________________ |