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

Artist Name: _____________________________________Phone _____________________

Title__________________________________________________________________________   Media_______________________      Measurements_____________________________

Sale Price_______________   LAG Show Entry Fee Enclosed:  $5.00______________