State__________ Zip__________ Country_____________ Phone________________E-mail:_____________
Fill out the Sizes (inche). Price (US dollar). Gallery will retain 50% of price below.

#1.Title:_______________________________ Size____________ medium:________ $ ____

#2.Title:_______________________________ Size____________ medium:_________$ ____

#3.Title: _______________________________Size ___________ medium:_________$_____

List additional slides below, at $5 each.

#4.Title:________________________________ Size____________ medium:_________ $ _____

#5.Title:________________________________ Size____________ medium:_________ $ _____

#6.Title:________________________________ Size____________ medium:_________ $______

Entry Checklist All certified or oversized mail will be returned.
* $35 check (money orders from outside the USA) payable to Gallery International ( US dollars only)
* Fill out and sign Entry Form and Notification Card.
* Properly marked slides of art work.
* Enclose business size #10 SASE with adequate postage for return of slides.
* Mail to: Gallery International 523 N. Charles St. Baltimore MD 21201 USA

Notice, no oversized or certified mail Please, all certified mail will be returned to sender.
Note: Incomplete forms will be automatically disqualified. Only fully completed and signed entry forms will be juried. Entry fees are
non-refundable .Entry fees outside of USA must be a money order in US dollars.Sending an Entry Form to this exhibit indicates agreement
on the part of the sender to all conditions in all prospectus related to this show.

_______________________________________Artist Signs here


Please fill out Notification Card ( Please Print or put return laber)

AM05 Entry#______________

Artist Name__________________________Address________________________City_____________

State__________ Zip__________ Country___________ Phone_______________E-mail:___________

#1 Title__________________________________ Medium ___________________Accepted /Not Accepted

#2 Title __________________________________Medium____________________A/N

#3 Title__________________________________ Medium___________________ A/N

#4 Title__________________________________ Medium___________________ A/N

#5 Title__________________________________ Medium___________________ A/N

#6 Title__________________________________ Medium___________________ A/N