Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Paintings
*
Latin Name
Common Name
Medium
HxW in cm
Price (£)
Backstory (Copy and Paste from document 200 words max)
Heritage
Crop, Crop Wild Relative or Ancient Crop
Painting 1
Painting 2
Painting 3
Cards
Title
Number (max 10)
Price per card
Card 1
Card 2
Card 3
Prints
Title
Number (Max 3)
Price per Print
Print 1
Print 2
Print 3
I understand that the SSBA is not liable for any loss or damage to work which may occur before, during or after the exhibition. I understand that the SSBA is not responsible for any uncollected work.
*
Signature (typed)
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