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Kona Coffee Art Exhibit Entry and Liability Release Form: Artist’s Name:______________________________________________________ Mailing Address:____________________________________________________ Telephone:_________________________ e-mail:_________________________ Original Art Pieces fee @ $3 per entry: Title:________________Size:____________Medium:________Price:________ Entry Fee:_____ Title:________________Size:____________Medium:________Price:________ Entry Fee:_____ Title:________________Size:____________Medium:________Price:________ Entry Fee:_____ Table Fee: $3 Table Fee:_____ Total: ________ Make Checks payable to: Rita Cowell While all works will be handled with the utmost care, the sponsors will not be responsible for loss or damage of works submitted for the duration of the entire exhibit. Works may be stored in a hotel room overnight or taken home by the artist. They must be claimed at the end of the Cupping Competition on Nov. 13, 2008. Please price your works to include the .04166 state tax. Release of Liability: I will not hold Gevalia Kaffe, Kona Coffee Festival, Rita Cowell, volunteers, or Keauhou Resort responsible for loss or damage to my entry(ies). Artist agrees to allow digital and/or photographic reproduction of art to be used in news coverage; copyrights and authorship will be noted and respected. I have read the attached rules and agree to abide by them: Signature of Artist:________________________________________________ |