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Creating Hope Registration
Name
Street Address
City, State, Zip
Phone number
Email address
What to Enter (any type of flat art will be accepted that adheres to the size requirment of 17" x 26"
Watercolor
Oil
Pastel
Photography
Acrylic
Chalk/Charcoal
Other
Title of art work
Short Narrative or description
Category of Participant
Cancer patient/survivor
Family member, friend or caregiver
Artist
Student
I would like my artwork to be donated to the Community Cancer Network for auction to help assist cancer patients.
Yes, I would like to donate my artwork
No, I will pick up my artwork after the Event
Drop Off Artwork
between 8am-5pm on
Monday, October 26, 2009
in the Burton D. Morgan Center for Entrepreneurship, Rm 136
1201 W. State Street
West Lafayette, IN 47907
Pick Up Artwork
betweem 8am-5pm, Monday through Friday
no later than December 4, 2009
in the Burton D. Morgan Center for Entrepreneurship, Rm 136
1201 W. State Strat Street
West Lafayette, IN 47907
Or make special arrangements by contacting Kris Swank at (765) 494-4674 or
kswank@purdue.edu
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