Please complete this form, then print using the button below
     

Full Name

  
Address
  
  include in your page (tick at least 1 box)
Telephone number
   include in your page
Email address
   include in your page
Website address
   include in your page
 
Item for inclusion
  
title
 size (cm) price(£) media
Item 1
  
 
 

Complete and print out form, then send it to us with your biography, photograph
and payment for £52.50 to:
Art-Village, PO Box 5095, Bridport DT6 3WJ
(One additional photograph may be included in the biography section if required.)
Please note all cheques should be made payable to Number 9 Design.