This PDF 1.3 document has been generated by Word / Mac OS X 10.7.5 Quartz PDFContext, and has been sent on pdf-archive.com on 31/03/2015 at 19:28, from IP address 93.96.x.x.
The current document download page has been viewed 835 times.
File size: 91.51 KB (1 page).
Privacy: public file
You must print and complete this form to attach with your entry. Please write in black ink and BLOCK
CAPITALS. The deadline for submission is Wednesday 15th April, 2015.
The Brain and Mental Health:
UCL NeuroSoc Art Exhibition Submission Form
First Name:
Surname:
E-‐mail address:
Entry Title (max 20 words):
Artwork Description (max 250 words): This information will be publicly displayed so please check your grammar
and spelling thoroughly. We will notify you if we feel your description requires editing. Please complete on a
separate sheet if necessary.
Materials (e.g. oil on canvas):
Approx. Weight:
Dimensions (width x length):
kg
g
mm
mm
Please note that entries larger than A3 (297 x 420 mm) must be handed-‐in person to UCL together with this form in
April. Drop-‐in dates will be advertised closer to the date. Smaller articles may be addressed to the following
address:
UCL NeuroSoc Art Exhibition
Main Post Room
Gower Street
London WC1E 6BT
To feature on our online gallery, please upload a high quality photograph or scan of your artwork to our
DropBox account at www.ucl.ac.uk/dropbox/ (organization: UCLNeuroSoc; e-‐mail: neurosoc@ucl.ac.uk)
Completed (Delete as appropriate)? YES / NO
Declaration
In signing below, you agree to UCL NeuroSoc exhibiting and auctioning your artwork. 50% of the revenue will go
to the charity SANE and up to 50% (minus listing fees) will be available to you as specified during registration.
UCL NeuroSoc reserve the right to use your artwork for future publications and we cannot guarantee return of
non-‐sold items. Additionally, we cannot hold liability for lost, stolen or accidentally damaged artwork. You also
confirm that this entry is entirely your own work and concept, and it has not previously been published or
exhibited elsewhere. If it is found that any of your details are inaccurate, UCL NeuroSoc reserve the right to
restrospectively withdraw entry and any prizes awarded, including auction commission without appeal.
Signature:
Date:
_ _ / _ _ / _ _
NeuroSoc-Submission-form.pdf (PDF, 91.51 KB)
Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..
Use the short link to share your document on Twitter or by text message (SMS)
Copy the following HTML code to share your document on a Website or Blog