2016 Adam Styka Art Exhibit and Sale

Hosted by
The Polish Heritage Society of Philadelphia in cooperation with
The American Council for Polish Culture and
The National Shrine of Our Lady of Czestochowa


ENTRY FORM

Fill out the following Entry Form (or a facsimile):

Name
__________________________________
Address
__________________________________

__________________________________

__________________________________
Telephone/email
__________________________________

Entry A
__________________________________
Title
__________________________________
Medium
__________________________________
Dimensions
__________________________________
Price
__________________________________

Entry B
__________________________________
Title
__________________________________
Medium
__________________________________
Dimensions
__________________________________
Price
__________________________________

Entry C
__________________________________
Title
__________________________________
Medium
__________________________________
Dimensions
__________________________________
Price
__________________________________

 



The Polish Heritage Society of Philadelphia
is an affiliate of The American Council for Polish Culture (ACPC)

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