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* 1. First name

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* 2. Last name

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* 3. Date of birth and year

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* 4. E-mail address

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* 5. Phone/mobile

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* 6. Home address

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* 7. Work of Art 1. Title

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* 8. Work of Art 1. Dimensions: height x width

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* 9. Work of Art 1. Type ( Oil/tempera/pastel/watercolor on canvas/cardboard, sculpture, video etc.)

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* 10. Work of Art 1. Price

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* 11. Work of Art 2. Title

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* 12. Work of Art 2. Dimensions: height x width

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* 13. Work of Art 2. Type

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* 14. Work of Art 2. Price

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* 15. Work of Art 3. Title

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* 16. Work of Art 3. Dimensions: height x width

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* 17. Work of Art 3. Type

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* 18. Work of Art 3. Price

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* 19. Notes:

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