NPN Annual Meeting Media Slam Registration: TULSA

MEDIA SHOWCASE REGISTRATION FORM - MIDWEST & NORTHEAST REGIONS

DEADLINE for Media Showcase Registration and Receipt by NPN: September 15, 2014

Use this Registration Form to Register EACH Artist,Company or Collective. (If you are registering multiple artists, companies, or collectives you must register the first artist, click “submit”, re-enter this site, register the next artist, click “submit”, etc.)

Question Title

* 1) PARTNER INFORMATION:

NPN/VAN Partner

Contact Name

Phone

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* 2) ARTIST/COMPANY/COLLECTIVE INFORMATION:

Artist/Company/Collective Name

Contact Name

Address

City

State

Zip

Phone

Website

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* Brief Description of Artist/Company/Collective (50 Words)

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* 3) WORK BEING SHOWN:

Artistic Discipline/Medium

Title of Work(s)

Length of Full Work(s)

Scale of Work(s)

# of Artists, Company/Collective Members (who tour with work)

NPN Annual Meeting Media Slam Registration: TULSA

MEDIA SHOWCASE REGISTRATION FORM - MIDWEST & NORTHEAST REGIONS

Question Title

* 1) PARTNER INFORMATION:

Question Title

* 2) ARTIST/COMPANY/COLLECTIVE INFORMATION:

Question Title

* Brief Description of Artist/Company/Collective (50 Words)

Question Title

* 3) WORK BEING SHOWN:

Question Title

* Tech/Installation Requirements (briefly describe):

Question Title

* Brief Description of Work(s) (50 Words)