APPLICATION FORM

Application Form, Project “Hic Et Nunc”Parte Contemporary Art Fair 2012 
São Paulo - Brazil



  Artist`s Name__________________________________

  Place and Date of Birth: ___________________________

  City/Country: ___________________________

  SITE/ BLOG: ________________________________________

  e-mail: _____________________________________________

 Bio: ________________________________________ 
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  ____________________________________________________ 
  ____________________________________________________
  ____________________________________________________
   
  Last Exhibitions
  ____________________________________________________
  ____________________________________________________
  ___________________________________________________   
  ____________________________________________________ 
  ____________________________________________________ 
  ____________________________________________________ 

   Title of the artwork: ___________________________________

   Date: ______________________________________________

   Medium: ___________________________________________

  Dimensions: ________________________________________  

  



____________________________________________________ 
             
Place / Date - Signature


   
  Coletivo GIB - Grupo Interno Bruto