Piedmont Regional Art Show Student Artist Registration
October 3-5, 2025
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Mobile Phone
*
Home Phone
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Enter Information for Your First Entry
Title
*
Medium
*
Oil
Acrylic
Watercolor
Graphics
Photography
Other
Price
*
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Thank you for registering.
Your entry fee is $10.00.
Entry Fee Payment
*
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Artist Registration
Student Artist Registration
$
10.00
Credit Card
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