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Online Registration for the Western Visions:
Miniatures and More Show & Sale:


Please fill out this form to submit your request Online. If you would like to fax or mail your request to us, Click Here for a printable version of this form.

For additional information, please contact Jennifer Lee by phone at (307) 732-5412 or by e-mail at jlee@wildlifeart.org

I would like to purchase:

Silver Benefactor $500 per person ($400 tax deduction)* Program details...
Benefactor $200 per person ($100 tax deduction)* Program details...
Wild West Preview Party $75 per person*
Miniatures and More Show & Sale $75 per person*
Bid by Proxy** ( use form below ) $50 per person*
*Bid Book included
Quantity of the item(s) you selected for purchase:

(Name and mailing address required for registration)
Name:

Name(s) of other Registrant(s), if more than one: (seperate with a comma)

Mailing Address:

City:

State:

Zip:


Phone Number:

Email Address:




Credit Card Type:

Credit Card Number:

Expiration Date: (mm/yy)




Bid by Proxy
**If you cannot attend and are Bidding by Proxy or placing a Silent Bid, please enter the Artist Name and ID Number of the piece(s) that you would like to bid on in the box below. You can make changes or add to your selections up to 24 hours previous to the show by contacting Jennifer Lee by phone at (307) 732-5412 or by e-mail at jlee@wildlifeart.org




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