Borrowe 5th Annua Borrowe 5th Annua Ask about

October 21, 2015
Borrowed Bucks Roadhouse
5th Annual Bucks for Bras Event
Artwork Entry Form
Artist: _________________________________________________
Address:_______________________________________________
City:____________________________ _State: _____ Zip: _ _______
E-mail: ________________________________________________
Phone: _ _______________________________________________
Title of Work: ___________________________________________
Medium of Work: ________________________________________
Estimated Retail Value: ___________________________________
Inspiration for Work: _____________________________________
______________________________________________________
Artist Bio: ______________________________________________
______________________________________________________
______________________________________________________
Bra Size: _______________________________________________
q
I need a bra model q
I have a bra model
*Models must be 21 years of age.
Turn this entry form and your piece of art by October 2
at the Bismarck Cancer Center located at 500 N 8th Street, Bismarck
Anything submitted after October 2 will be placed on the silent auction.
Contact Sara Kelsch at (701) 222-6119
or e-mail [email protected]
*Entries provided may be used for promotional purposes.
Thank you for your support!
Proceeds go to: