SCHEDA DI PARTECIPAZIONE PER LA PERSONALE
PARTICIPATION FORM SOLO EXHIBITION

Artexpo Spring Rome 2024 rassegna artistica internazionale a Roma organizzata da Artists in the World Events e da Art Gallery Rome
 in collaborazione con la Mahomahi Art Gallery diretta da Zahra Kamali Aghdam

Artexpo Spring Rome 2024 international art exhibition in Rome (Italy) organized by Artists in the World Events and Art Gallery Rome
in collaboration with the Mahomahi Art Gallery managed by Zahra Kamali Aghdam

Cognome (Surname) __________________________________________________________________
Nome (Name) _____________________________________________________________________
Nome in Arte (Stage name nickname) ______________________________________________________
Telefono (Telephone)_________________________________________________________________
Cellulare (Mobile)____________________________________________________________________
email ____________________________________________________________________
Sito web (Web Site)__________________________________________________________________

Indirizzo (Address)  ________________________________________________________________
Codice postale (postal code)________________________________________________________
Citta (City) ____________________________________________________________________
State ___________________________________________________________________

OPERA ARTWORK num.1
Titolo opera (Title artwork) ___________________________________________________________
Dimensioni (Size) ____________________________________________________________________
Tecnica (Technique) _______________________________________________________________
Anno (Year )____________________________________________________________________
Prezzo (Price) ___________________________________________________________________

OPERA ARTWORK num.2
Titolo opera (Title artwork) ___________________________________________________________
Dimensioni (Size) ____________________________________________________________________
Tecnica (Technique) _______________________________________________________________
Anno (Year )____________________________________________________________________
Prezzo (Price) ___________________________________________________________________

OPERA ARTWORK num.3
Titolo opera (Title artwork) ___________________________________________________________
Dimensioni (Size) ____________________________________________________________________
Tecnica (Technique) _______________________________________________________________
Anno (Year )____________________________________________________________________
Prezzo (Price) ___________________________________________________________________

OPERA ARTWORK num.4
Titolo opera (Title artwork) ___________________________________________________________
Dimensioni (Size) ____________________________________________________________________
Tecnica (Technique) _______________________________________________________________
Anno (Year )____________________________________________________________________
Prezzo (Price) ___________________________________________________________________

Approvo il bando di partecipazione e autorizzo all' utilizzo dei dati personali secondo il nuovo regolamento europeo sulla protezione dei dati Regolamento (UE) 2016/679 GDPR
I approve the participation notice and authorize the use of the personal data/records according to the GDPR General Data Protection Regulation (EU) 2016/679

data e firma 
Date and signature

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