Royal Lepage Office window application

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The “Royal LePage Window” is a satellite gallery of the Arts Council of
Ladysmith and District. These public satellites exist to promote a positive atmosphere and sense of
wellness for all to enjoy and are representing the Arts Council

Artist Name *

Artist member number *

Address *

Phone number *

Email Address *

Number of pieces *

I certify that all the artwork I have submitted for consideration for the exhibit in the Royal LePage Window are my own original works and have not been copied from any original or printed material. I absolve the Arts Council of Ladysmith and District and the Royal LePage Realty, of any legal responsibility resulting from copyright infringement.I understand that the Arts Council, and the Royal LePage Realty accept no responsibility for loss or damage to paintings or artwork.A commission of 20% will be given to the Arts Council for any work sold at these venues. *

I agree with the statement above

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