Pre-Registration form for Lincoln Artists’ Guild Judged: Please print information very clearly and return to: Wanda Medina, Treasurer. Please print one form for each piece item you are entering. Mail this form with the required fee to Wanda Medina, 7563 Diamond Ct., Lincoln, NE 68505.

Artist name: _______________________________________
Title: _____________________________________________
Media: ___________________________________________
Size Framed: ______________________________________ Sale Price: ________________ Width/Height: _______________
LAG Show entry fee Enclosed ($5.00):_________