NTAA - New Technological Art Award 2012

:: Registration Form New Technological Art Award 2012 - Foundation Liedts-Meesen

Deadline registration: 31/03/2012

Part 1/4 - Artist & Author Information

Surname: *
Name: *
Date of birth: *
Sex: *	man woman
Nationality: *
Made by: *	artist gallery artists group institute / organisation other
Current contact information
Surname: *
Name: *
Street + number: *
Postal code: *
City: *
Country: *
Phone: * (eg: 0032(0)9/233.62.52)
Mobile: * (eg: 0032(0)475/51.62.52)
Email: *
Website:
Artist biography: * (max. 5000 characters)
Blank registration form:	Did you encounter any problems? Send an email to bert@zebrastraat.be