2015 ARTeX Art Competition Theme
|
|
- Hilary Caldwell
- 6 years ago
- Views:
Transcription
1 Announcing the World Awareness Children's Museum's 2015 ARTeX Art Competition Theme Duomo Di Firenze by Asia Gusto, age 15, Italy 2012 Submission Deadline: April 1, 2015 r nís A rt re Collec t Inte na ng and Shar g i n i SINCE ti o n a l C h il d Tsehootooi Middle School Fort Defiance, Arizona ARTeX provides a wonderful opportunity for students and other participants as we look nationwide for drawings and paintings which explore this theme with unlimited interpretation. World Awareness Children's Museum 89 Warren Street Glens Falls, NY (518) art@worldchildrensmuseum.org
2 2015 U.S. ARTeX ART COMPETITON REQUIREMENTS 1. SPECIAL VALUE! SAVE $35.00!
3 ARTeX U.S. ART COMPETITION ENROLLMENT FORM School/Organization Date Contact Name Grade Levels Mailing Address Zip + 4 Shipping Address (if different) Address Zip + 4 School Phone ( ) - Ext. Best time to call Home Phone ( ) - (optional information but sometimes helpful, thanks!) YES, please enroll me in the ARTeX U.S. Art Competition. $35.00 Payment: Check Purchase Order Credit Card: MasterCard Visa Credit Card #: Exp. Date: / Signature: Make checks payable to: Mail to: 89 Warren Street Glens Falls, New York Special! Enroll in the ARTeX Art Competition at no additional charge when you order any Exhibition for Loan. A $35.00 Value! See Exhibition for Loan Order Form.
4 EXHIBITION FOR LOAN ORDER FORM School/Organization Date Contact Name Grade Levels Mailing Address Zip + 4 Shipping Address (if different) Address Zip + 4 Phone ( ) - Ext. Best time to call Home Phone ( ) - (optional information but sometimes helpful, thanks!) Standard Loans (Standard Exhibitions are matted, protected with shrink wrap and come with tabs for easy push-pin hanging.) Regular Exhibition (up to 20 pieces) $ First Choice Title Second Choice Title Loan period requested (up to 6 weeks): From / / to / / Expanded Exhibition (21-40 pieces) $ First Choice Title Second Choice Title Loan period requested (up to 6 weeks): From / / to / / Premium Loans (Premium Exhibitions are window-matted, protected with shrink wrap and come with tabs for easy push-pin hanging. They include descriptive text panels. Number of pieces varies with theme selection. Shipping is included with Premium Loans.) Title Loan period requested: From / / to / / 6 Week Loan $ Week Loan $ Week Loan $ Week Loan $ Shipping & Handling for Standard Loans* Subtotal East of Mississippi West of Mississippi Regular Exhibition $38.50 $42.50 Expanded Exhibition $48.50 $58.50 *Sorry, we cannot ship to Alaska or Hawaii. Payment: Check Purchase Order Credit Card: MasterCard Visa Credit Card #: Shipping &Handling (see chart at left) Exp. Date: / Signature: Make checks payable to: Mail order form to: 89 Warren Street, Glens Falls, New York As a participant in the International Youth Art Exchange Loan Program, sponsored by the World Awareness Children s Museum, we agree as follows: 1. To the participation options chosen above, under the current Exchange/School year program. 2. To return said artworks by the times designated and to pay the return shipping. 3. The undersigned participant, realizing the unique nature of each piece of artwork, is fully responsible for all said artworks received by them, and for their return to the in the condition in which they were received. 4. A charge of $ per piece for any lost, damaged or unreturned artwork. ORDER TOTAL Special! All Exhibition for Loan orders include enrollment in the ARTeX Art Competition at no additional charge! A $35.00 Value! Check here to enroll. Signed Date
5 ARTeX U.S. ART IDENTIFICATION SHEET This will become your master identification record for your submissions to the ARTeX U.S. Art Competition. Please type or print clearly. Instructions: 1. Copy this form as needed and number the total sheets. We can accept up to 35 drawings per submission. 2. Complete the information for the instructor and each participant s artwork. 3. Include one complete, uncut set of all pages with your drawings. This copy will be returned to you with a Certificate of Recognition for each participant. 4. Additionally, copy the completed form(s), cut out each individual participant s identification information and attach it to the back of their artwork. Instructor/Coordinator: Page of Date
Flexible Spending Account (FSA)
Flexible Spending Account (FSA) Confirmation Form 3880 (11/2016) Page 1 of 7 The following form collects the critical information WageWorks needs to prepare and properly service your program for the upcoming
More informationAWARDS 1 st place - $1,000 2 nd Place - $500 3 rd Place - $250 Honorable Mentions - $50
Associated Artists of Winston-Salem presents 54th Annual DIMENSIONS 2018 National Juried Fine Art Competition and Exhibition Sponsored by Kilpatrick Townsend May 30 July 24 At the Womble Carlyle Gallery
More informationGovernment Finance Officers Association. Just Published! Capital Project Planning and Evaluation
Just Published! Putting Recommended Budget Practices into Action JOSEPH P. CASEY AND MICHAEL J. MUCHA, EDITORS The creation of a capital plan occurs long before the development of a capital budget. Get
More informationWalter F. Ehrnfelt Recreation Center Royalton Road, Strongsville, Ohio
Annual Membership Packages for the Walter F. Ehrnfelt Recreation Center 18100 Royalton Road, Strongsville, Ohio 44136 440.580.3260 www.strongsville.org Fees effective as of October 1, 2014 You now have
More informationContinuing Education
Continuing Education FROM: PGI PHONE: (800) 829-7247 FAX: (317) 549-9470 Thanks for your interest in continuing education through Pentera Group, Inc. (PGI). Attached please find information on PGI courses
More informationApplication Information
U.S. Member Agreement & Essential Rewards Enrollment Form Application Information 3125 Executive Parkway Lehi, UT 84043 USA Name (Last, First, Middle) Required Social Security or Federal ID Number (Required,
More informationNew York Community-Rated Small Group (2-50) Application OHP
New York Community-Rated Small Group (2-50) Application OHP Oxford Health Plans (NY), Inc. Oxford Health Insurance Inc. www.oxfordhealth.com Mailing Address: Group Enrollment Department, 14 Central Park
More informationKS CONNECT FOR PARENTS KS Electronic Enrollment Process - Step By Step Instructions Page 2 of 2
KS CONNECT FOR PARENTS KS Electronic Enrollment Process - Step By Step Instructions Page 2 of 2 12. FACTS automatically calculates your payment amount in the next screen, based on the payment frequency
More informationName: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship: Name: DOB: Relationship:
Member Information Applicants Name: Co-Applicants Name: Membership Application Please read and complete thoroughly all fields and pages of the application. Incomplete applications will be returned to the
More informationFORT SCOTT COMMUNITY COLLEGE
FORT SCOTT COMMUNITY COLLEGE 2015-2016 Dependent Verification Form (V1-Standard) Your 2015-2016 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification.
More informationOAKLAND COUNTY TREASURER
November 22, 2013 Dear Oakland County Education Professional: As students and families face a tough economy, it s more important than ever they are equipped with the proper financial literacy skills. To
More informationART CONSIGNMENT AGREEMENT
Keith & Kim Stubblefield OWNERS 100 E. MULBERRY COLLIERVILLE, TN 38017 keith@galleryeastfineart.com galleryeastfineart@gmail.com w. 901-316-5549 c. 901-289-0510 www.galleryeastfineart.com GalleryEastArt
More informationTaxpayer Questionnaire
First Name: Last Name: Taxpayer Questionnaire PERSONAL INFORMATION Primary Taxpayer M.I.: S.S.N. : Birthdate: Taxpayer's PIN: Home Phone: Work Phone: Cell Phone: Occupation: Email : Dependent on another
More informationPayment Options Forms and Tuition Refund Plan Enrolment Form
Payment Options Forms and Tuition Refund Plan Enrolment Form 2018-2019 International Students St. Michaels University School Financial Services Office 3400 Richmond Road, Victoria, British Columbia, Canada
More informationRIVERSIDE ACADEMY TUITION & FEE SCHEDULE Tuition Rates
RIVERSIDE ACADEMY 2017-2018 TUITION & FEE SCHEDULE Tuition Rates FAMILY TUITION DISCOUNTS (Deducted from total) Children Discount High School (9 th -12 th ) $6,248.00 2 13% Middle School (6 th -8 th )
More informationEASY REGISTRATION BY MAIL OR FAX!
EASY REGISTRATION BY MAIL OR FAX! MAIL: PCC, 4717 Pemberton Drive, Raleigh, NC 27609 FAX: (919) 890-3058 Please fill out a separate form for each applicant. This form may be duplicated. Please print and
More informationAMA Med Plus Advantage Long Term Disability Conversion Insurance Application Instructions
Long Term Disability Application Instructions THE RIGHT TO CONVERT If your long term disability (LTD) insurance ends under your Group LTD Policy from Standard Insurance Company, you may have a right to
More information2015 GOLD & SILVER BOOTH MONITOR REPLACEMENT FORM
2015 GOLD & SILVER BOOTH MONITOR REPLACEMENT FORM The Venetian Palazzo Congress Center Las Vegas, Nevada October 19 23, 2015 FAX ORDERS: 610 825 4430 / PHONE ORDERS: 610 825 4000 Order by September 25th,
More informationMUSIC #MUS-001 PRICE $ #MUS-002 PRICE
#MUS-001 PRICE $300.00 #MUS-002 PRICE $250.00 P.1 #MUS-003 PRICE $350.00 #MUS-004 PRICE $500.00 P.2 #MUS-005 PRICE $350.00 #MUS-006 PRICE $250.00 P.3 #MUS-007 PRICE $250.00 WITH ENCLOSURE #MUS-008 PRICE
More informationEYE CARE PLAN. For Student Health Insurance Plan (SHIP) Members
EYE CARE PLAN For Student Health Insurance Plan (SHIP) Members 2007 2008 Cornell University students and dependents who are members of the Student Health Insurance Plan may enroll in an optional eye care
More informationConfucius Institute Sunday Chinese School Registration Information Packet
Confucius Institute Sunday Chinese School Registration Information Packet Below is a list of forms required for the Registration process. Please complete all forms, mail it back to Confucius Institute
More information2501 West Fifth Ave Brodhead WI (608) PHONE (608) FAX
Brodhead School District 2501 West Fifth Ave Brodhead WI 53520 (608) 897-2141 PHONE (608) 897-2770 FAX Dear Parent/Guardian: Children need healthy meals to learn. Brodhead School District offers healthy
More information26509 Carl Boyer Drive Santa Clarita, CA (661)
26509 Carl Boyer Drive Santa Clarita, CA 91350 EMAIL: info@valenciatutors.com (661) 259. 7160 Course Registration Academic Enrollment 2017-18 Name of Student (s) Date / / 1. DOB 2. DOB Name of Parents
More informationMarch Madness Pop-Up Show Monthly Pop-Up Show Call for Art Submission deadline: Monday, February 25, 2019
March Madness Pop-Up Show Monthly Pop-Up Show Call for Art Submission deadline: Monday, February 25, 2019 The Sonoran Arts League is proud to request up to five (5) pieces of artwork, from artist members
More informationHealth FSA FAQ Page 1 of 6
Health FSA FAQ-2019 1. What is a Flexible Spending Account (FSA)? A flexible spending account is an employer-sponsored benefit that allows you to set aside pre-tax dollars to pay for eligible health care
More informationCheck/Cash/CC Date Booth/s. STEP 1 of 9: Tell us who you are and how to Contact you: Business Name. Address City State Zip Code
For Office Use Only Check/Cash/CC Date Booth/s STEP 1 of 9: Tell us who you are and how to Contact you: Name Your Email Address City State Zip Code Business Phone Cell Phone Website - STEP 2 of 9: Tell
More informationFinancial Strategies for Successful Retirement
An Educational Course Financial Strategies for Successful Retirement Classroom Instruction on Money Management for People Ages 45 to 74 Now Being Conducted at: Location Dates/Time Location Street Address
More informationGuest Juror: Sara Siestreem
PCC Cascade Campus Juried Student Art Exhibition, Paragon Arts Gallery, April 11 - May 11, 2018 Guest Juror: Sara Siestreem Opening Reception Wednesday April 11, 4-7 Porschman Scholarship Recipients to
More informationTHE PEOPLES BANK OF MULLENS MAKING CHANGES HAPPEN
THE PEOPLES BANK OF MULLENS MAKING CHANGES HAPPEN TWO FULL SERVICE LOCATIONS MULLENS & PINEVILLE MULLENS PO BOX 817 200 FIRST STREET MULLENS, WV 25882 PHONE: (304) 294-7115 FAX: (304) 294-7147 PINEVILLE
More informationCamp Tatanka Summer Camp Registration Form
WTAMU and the City of Canyon Child s First Name Camp Tatanka Summer Camp Registration Form Camper & Parent s Information Last Name Grade Fall 2018: Age (on 1 st day of camp): Birth Date: / / M / F Child
More informationNew York HMO Small Group (2-50) Application OHP
HMO/Liberty Network New York HMO Small Group (2-50) Application OHP Oxford Health Plans (NY), Inc. www.oxfordhealth.com Mailing Address: Group Enrollment Department, 14 Central Park Drive, Hooksett, NH
More informationEnroll in your Registered Retirement Savings Plan (RRSP) and your Deferred Profit Sharing Plan (DPSP).
Enroll in your Registered Retirement Savings Plan (RRSP) and your Deferred Profit Sharing Plan (DPSP). It s easy for you to sign-up, so why wait? Telecon Group Employees plan Join now. Here s what you
More informationTHE GOLDMAN SACHS GROUP, INC.
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event
More information2019 SPONSORSHIP AGREEMENT $18,000 Starlight Sponsor ($15,060 is tax deductible) SOLD OUT! UnderwriQng: $15,500 Twilight Sponsor ($12,980 is tax deduc:ble) SOLD OUT! $5,250 Firelight Sponsor ($3,990 is
More informationLife Insurance Claimant s Statement
Life Insurance Claimant s Statement Policy Policy number(s) Information Name of Deceased Other names by which the deceased may have been known 55 No. 300 West, Suite 375 Salt Lake City, Utah 84101 (801)
More informationMANDATORY PROVIDENT FUND SCHEMES AUTHORITY. Guidelines on Enrolment and Contribution Arrangements for Casual Employees
MANDATORY PROVIDENT FUND SCHEMES AUTHORITY IV.9 Guidelines on Enrolment and Contribution Arrangements for Casual Employees INTRODUCTION Sections 7, 7A and 7B of the Mandatory Provident Fund Schemes Ordinance
More informationPLAN AMENDMENT FOR LINCOLNWAY AREA AFFILIATION OF PARTICIPATING SCHOOL DISTRICTS EMPLOYEE BENEFIT PLAN
PLAN AMENDMENT FOR LINCOLNWAY AREA AFFILIATION OF PARTICIPATING SCHOOL DISTRICTS EMPLOYEE BENEFIT PLAN Effective Date: January 1, 2005 This Plan is AMENDED as follows: COBRA CONTINUATION COVERAGE Introduction
More informationCalifornia Virtual Academies and Insight Schools of California
California Virtual Academies and Insight Schools of California REQUEST FOR QUALIFICATIONS FOR DESIGN/BUILD OF PROPOSITION 39 ENERGY EFFICIENCY PROJECTS REQUEST FOR QUALIFICATIONS SUBMITTAL DEADLINE April
More informationBreakout Session Objectives Introductions 15 minutes Ice breaker Round table introductions
Title I, Part D: Neglected, Delinquent, and At Risk FASFEPA Breakout Session Reviewing Updates to N&D May 16, 2018 1 Breakout Session Objectives Introductions 15 minutes Ice breaker Round table introductions
More informationFORM 10-D. OHIO PHASE-IN-RECOVERY FUNDING LLC (Exact name of issuing entity as specified in its charter)
UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-D ASSET-BACKED ISSUER DISTRIBUTION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the
More informationAPPLICATION FORM ASSOCIATE INSTRUCTIONS. Sign up for Automatic Order now! Check the box, Yes, I want Auto Order!"
APPLICATION FORM ASSOCIATE INSTRUCTIONS How to Join the Mannatech Family 1 Select one option from the choices below and check the corresponding field on the Application. Included in all options: Mannatech
More informationCanadian Application for Form I-20 and Certification of Financial Responsibility
Canadian Application for Form I-20 and Certification of Financial Responsibility IMPORTANT: The information on the following pages explains how to become eligible for F-1 student status in the United States.
More informationSpectera UHC VISION PLAN* ENROLLMENT INSTRUCTIONS
Spectera UHC VISION PLAN* ENROLLMENT INSTRUCTIONS Please Type or Print Clearly using only Black Ink, DO NOT USE Felt Tip Pens. MEMBER / APPLICANT INFORMATION: Member/Applicant: Local REALTOR Assoc. Name:
More informationIRS Enrolled Retirement Plan Agent (ERPA) Designation and Exams FAQs
IRS Enrolled Retirement Plan Agent (ERPA) Designation and Exams FAQs Courtesy of SunGard s Relius Education What is an Enrolled Retirement Plan Agent (ERPA)? An ERPA is an individual who has qualified
More informationSTUDENT ACCOUNT SERVICES MICHIGAN STATE UNIVERSITY
STUDENT ACCOUNT SERVICES MICHIGAN STATE UNIVERSITY Student Account Services Hannah Administration Building Rm 140 426 Auditorium Road Assess tuition & fees Produce student bills Post payments, sponsor
More informationIRS Enrolled Retirement Plan Agent (ERPA) Designation and Exams FAQs
IRS Enrolled Retirement Plan Agent (ERPA) Designation and Exams FAQs Courtesy of SunGard s Relius Education What is an Enrolled Retirement Plan Agent (ERPA)? An ERPA is an individual who has qualified
More informationPLEASE FILL OUT ON SCREEN AND WITH YOUR PREVIOUS YEARS TAX RETURN USING THE SECURE LINK SENT TO YOU WHILE SETTING UP YOUR APPOINTMENT.
MILLS and DeFILIPPIS CERTIFIED PUBLIC ACCOUNTANTS, LLP NEW CLIENT INDIVIDUAL INCOME TAX ACCEPTANCE FORM PLEASE FILL OUT ON SCREEN AND EMAIL WITH YOUR PREVIOUS YEARS TAX RETURN USING THE SECURE LINK SENT
More informationEstate Planning Kit. Cover Letter for Estate Planning Kit
Estate Planning Kit The heart of this kit is authoritative information on estate planning. Two booklets from the American Bar Association Estate Planning: Getting Started and Revocable Living Trusts provide
More informationEnterprise Zone Program
LOUISIANA. Custom-Fit Opportunity. Enterprise Zone Program TAX CREDIT APPLICATION INSTRUCTIONS SECTION ONE (Application Page 4) Business Information Business Name: Company name of the business applicant
More informationRisk Profile Company Information
USA Telecom Insurance Services LLC 854 Washington St NW Suite 200 Gainesville, GA 30501 Risk Profile Company Information Legal Company Name Date Name (Last, first, middle initial) FEIN # Street address,
More informationPreferred Adult Dental Plan Application For Individuals and Families Effective January 1, 2017
Preferred Adult Dental Plan Application For Individuals and Families Effective January 1, 2017 Use this application if you are currently enrolled on a Premera Blue Cross Blue Shield of Alaska (Premera)
More information1. Name of the Enterprise Making the Request (Name of the Agency): Hebrew: English: Zip Code: P.O. Box: P.O. Box Zip Code:
A Request for Acceptance as a Member/Associate of the Israel Incoming Tour Operators Association I hereby request acceptance as a member of the Israel Incoming Tour Operators Association, and hereby undertake
More informationMorgan s St Hilda s School Art Show 9-10 October 2015
Morgan s St Hilda s School Art Show 9-10 October 2015 ARTWORK REGISTRATION AND PAYMENT FORM Thank you for your interest in the Morgan s St Hilda s School Art Show. We look forward to working with you to
More informationBulletin. Annuity Requirement and AML Training available through Quest CE
Bulletin Marketing/Annuity Annuity Requirement and AML Training available through Quest CE In order to conform to the NAIC Suitability in Annuity transactions Model Regulation (NAIC-275) Presidential Life
More informationFREQUENTLY ASKED QUESTIONS ABOUT FREE AND REDUCED PRICE SCHOOL MEALS
ATTENTION: If you have received by mail, a green notice of Direct Certification for free meals, DO NOT COMPLETE THIS APPLICATION but contact the school if any children in the household were not listed
More informationBudget General Information (characteristics of district) Supplemental Information for Tables in Summary of Expenditures
USD 428, Great Bend Budget General Information (characteristics of district) Supplemental Information for Tables in Summary of Expenditures KSDE Website Information Available Summary of Expenditures (Sumexpen.xls)
More informationAgent Name Agency # Agent # Agent Phone # Agent
Gerber Life Insurance Company 445 State Street Fremont, Michigan 49412 www.gerberlife.com Agency Application Agent Name Agency # Agent # Agent Phone # Agent Email Application for: Individual Whole Life
More informationFREE AND REDUCED PRICE SCHOOL MEALS APPLICATION INSTRUCTIONS AND FAQ S
FREE AND REDUCED PRICE SCHOOL MEALS APPLICATION INSTRUCTIONS AND FAQ S Dear Parent/Guardian: Children need healthy meals to learn. The Wisconsin Rapids Public School District offers healthy meals every
More informationPay no monthly service charge. PLUS, get additional time to make a deposit and avoid overdraft fees.
Pay no monthly service charge. PLUS, get additional time to make a deposit and avoid overdraft fees. Key Benefits: No monthly service charge No minimum balance required No minimum deposit to open the account
More informationFORT SCOTT COMMUNITY COLLEGE
FORT SCOTT COMMUNITY COLLEGE 2017-2018 Dependent Verification Form (V6-Household Resources) Your 2017-2018 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification.
More informationDenver Quilt, Craft and Sewing Festival 2018
2018 451 East 58th Ave. 80216 WE RE HERE TO HELP! To enhance your presentation, such items and services as carpet, modular exhibits, custom signs, floral and plants, audio visual and labor assistance are
More informationTips from Your Replacements Team
LIFE NEW BUSINESS Tips from Your Replacements Team OVERVIEW State Replacement Regulations protect agents and policyholders from improper replacements. Follow these simple tips to: 4 Ensure you comply with
More informationRisk Profile Company Information
USA Telecom Insurance Services LLC 854 Washington St NW Suite 200 Gainesville, GA 30501 Risk Profile Company Information Legal Company Name Date Name (Last, first, middle initial) FEIN # Street address,
More informationAgent Instruction for Submitting New Application
Gerber Life Guaranteed Life Insurance Agent Instruction for Submitting New Application Guaranteed Life In addition to the insurance application, the following forms may be required at time of application
More informationAlways stay protected. Choose Short Term Medical from Assurant Health for gaps in health insurance.
ILLINOIS Always stay protected. Choose Short Term Medical from Assurant Health for gaps in health insurance. Unexpected illnesses and accidents happen every day, and the resulting medical bills can be
More informationDear Parent/Guardian:
Dear Parent/Guardian: Children need healthy meals to learn. Bishop Dwenger High School offers healthy meals every school day. Breakfast costs N/A; lunch costs $2.75. Your children may qualify for free
More informationGeneral Partnership Question by: Sarah Steinbeck Jurisdiction: Colorado Date: 01 March 2011
Topic: General Partnership Question by: Sarah Steinbeck : Colorado Date: 01 March 2011 Manitoba Corporations Canada Corporations Canada does not file any documents for partnerships. Alabama Alaska Arizona
More informationSUNY S L S C STUDENT LOAN SERVICE CENTER
SUNY S L S C STUDENT LOAN SERVICE CENTER 5 University Place Rensselaer, New York 12144-3440 (518) 525-2626 slsc@albany.edu Federal Perkins Loan Economic Hardship Deferment Request You may defer repayment
More informationWASHINGTON CONSUMER LOAN COMPANY LICENSE
WA Surrender Checklist Jurisdiction-Specific Requirements WASHINGTON CONSUMER LOAN COMPANY LICENSE Instructions 1. Surrender request must be filed in NMLS within 20 days of the event. 2. Confirm the Records
More informationSPONSORSHIP PACKET NOVEMBER 1, 2018 NEW YORK MARRIOTT MARQUIS. MBE Chair:
NOVEMBER 1, 2018 NEW YORK MARRIOTT MARQUIS MBE Chair: We Turned 45 This Year... Come Celebrate... Join Us! Each year, the New York and New Jersey Minority Supplier Development Council s Partnership Awards
More informationEXHIBITOR KIT CANADIAN LEAGUE AGAINST EPILEPSY 2016 OCTOBER 15-16, 2016 HÔTEL PUR
2800 Dalton Ave., Suite 8 Quebec City, (QC) G1P 3S4 Tel: (418) 654-0029 EXHIBITOR KIT CANADIAN LEAGUE AGAINST EPILEPSY 2016 OCTOBER 15-16, 2016 HÔTEL PUR Dear exhibitor, Standex is pleased to present you
More informationGLOBAL EDUCATION CENTER. GLOBAL EXPEDITION CONTRACT ( - Summer ) APPLICANT INFORMATION. Male Female Yes No DATE OF BIRTH GENDER HIGH SCHOOL STUDENT?
GLOBAL EDUCATION CENTER GLOBAL EXPEDITION CONTRACT ( - Summer ) APPLICANT INFORMATION NAME AS IT APPEARS ON YOUR PASSPORT (Last, First, Middle Initial) STUDENT ID NO. ADDRESS (Number, Street, Apartment)
More informationPlease submit all this document to us!!! Tax refund procedure
Hi, Thank you for choosing us to refund your taxes from the USA! Simply follow these steps to get your biggest tax refund: PRINT all the pages of this file SIGN at X marks TAKE A PICTURE or SCAN documents
More informationSparkle & Flash Show
Attention: Sonoran Arts League Members Jewelry and Photography Artists Sparkle & Flash Show Jewelry & Photography - Call for ART The Sonoran Arts League is proud to request up to five (5) pieces of artwork,
More informationFEDERAL ELIGIBILITY INCOME CHART For School Year
2018-2019 School Year Dear Parent/Guardian: Children need healthy meals to learn. Glennallen School offers healthy meals every school day. Lunch costs are: Grades K-5 at $4.00, Grades 6-12 at $4.25 and
More informationRequest for Economic Hardship Deferment/Forbearance Do NOT use this form for Federal Perkins Loans. Please use the form designated for Perkins Loans.
Request for Economic Hardship Deferment/ Do NOT use this form for Federal Perkins Loans. Please use the form designated for Perkins Loans. SECTION 1: BORROWER IDENTIFICATION Last Name: First Name: MI:
More informationKANJIZAI MARTIAL ARTS LLC 2018 CAMP REGISTRATION
KANJIZAI MARTIAL ARTS LLC 2018 CAMP REGISTRATION Camper #1 Information Name DOB Gender Special Requirements (allergies, medications, behavioral challenges, etc.) Camper #2 Information Name DOB Gender Special
More informationFrequently Asked Questions on the Debit Card
Frequently Asked Questions on the Debit Card General Questions on the WEX Health Prepaid Benefits Card 1. Why did I receive the WEX Health Prepaid Benefits Card? As a participant in a medical reimbursement
More informationBenefit Enrollment and Maintenance X12
834 Benefit Enrollment and Maintenance 004010 X12 Functional Group=BE Heading: Pos Id Segment Req Max Use Repeat Notes Usage 020 BGN Beginning Segment M 1 Must use 030 REF Reference Identification O >1
More informationFrequently asked questions by professors...
Frequently asked questions by professors... Travel How soon do we get reimbursed for travel expenses? Approximately 10 days after submitting your expense report in Concur (times may vary depending on time
More informationDeerfield Beach Surf Camp 2018 Registration Form
Deerfield Beach Surf Camp 2018 Registration Form For camp information call 954-281-2797 or go to www.islandcamps.com Camper s name DOB Parent/Guardian Name Address City State Zip Email: Phone (C) Phone
More informationKENYA PHOTOGRAPHIC WILDLIFE SAFARI Tour Leader VIVIEN PRINCE
Tour Leader VIVIEN PRINCE REGISTRATION FORM (Please Print) NAME exactly as shown on your passport: BIRTH DATE: ADDRESS: CITY, STATE, ZIP PHONE NO: Email ADDRESS: Passport Number: Exp Date: Issuing Agency:
More informationCREDIT INFORMATION SEND US YOUR CREDIT APPLICATION AND RESALE CARD AND WE WILL EXTEND YOU $ INSTANT CREDIT FOR USE ON YOUR FIRST ORDER ONLY.
Office: (800) 854-6404 Fax: (714) 238-6222 Email: wschul@5daybf.com CREDIT INFORMATION SEND US YOUR CREDIT APPLICATION AND RESALE CARD AND WE WILL EXTEND YOU $500.00 INSTANT CREDIT FOR USE ON YOUR FIRST
More informationFITNESS INSTRUCTOR. Insurance Program and Enrollment Form This brochure is valid for effective dates from 12/1/07 through 11/30/08
FITNESS INSTRUCTOR Insurance Program and Enrollment Form This brochure is valid for effective dates from 12/1/07 through 11/30/08 K&K Insurance Group, Inc. P.O. Box 2338 Fort Wayne, IN 46801-2338 1-800-506-4856
More informationNew York Guide to List Billing WELCOME TO DEARBORN NATIONAL. Life Insurance Company of New York
www.dearbornnational.com WELCOME TO DEARBORN NATIONAL UNDERWRITTEN BY DEARBORN NATIONAL LIFE INSURANCE COMPANY OF NEW YORK New York Guide to List Billing Life Insurance Company of New York Products and
More informationCITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR
CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR Please print clearly. Completion of the registration process is required for each participant prior to program start
More informationMemorandum. It s Time for the Annual Tour of Remodeled Homes!! Get those entries in!!!
3146 Custer Drive Lexington, KY 40517 P. 859-273-5117 F. 859-271-0291 Memorandum To: Builder / Remodeler Members of the BIA Central KY Remodelers Council From: Trent Winfree, 2018 Tour of Remodeled Homes
More informationWhat is a Credit Union and why do I need to be
What is a Credit Union and why do I need to be Credit Unions Other Financial Institutions Companies Organizations Digital Federal Credit Union 220 Donald Lynch Blvd PO Box 9130 Marlborough, MA 01752-9130
More informationLifeline Application Addendum Arizona
Lifeline Application Addendum Arizona If you are 65 or older and wish to apply for the senior discount you must fill out the form below. Please be sure to fill-in all necessary parts of this application
More informationStudent Account Services MICHIGAN STATE UNIVERSITY
Student Account Services MICHIGAN STATE UNIVERSITY Student Account Services Hannah Administration Building Rm 140 426 Auditorium Road Assess tuition & fees Produce student bills Post payments, sponsor
More information(Please Print using Black or Blue Ink) SEX: GENDER IDENTITY: MARITAL STATUS: SINGLE MARRIED OTHER
PATIENT INFORMATION (Please Print using Black or Blue Ink) LAST NAME: FIRST NAME: MIDDLE INITIAL: ADDRESS: CITY: STATE: ZIP: SEX: GENDER IDENTITY: MARITAL STATUS: SINGLE MARRIED OTHER RACE (OPTIONAL):
More informationOn The Block Management 1894 Eastchester Road, Suite 203 Bronx, NY Fax
On The Block Management 1894 Eastchester Road, Suite 203 Bronx, NY 10461 718-931-1100 Fax 718-829-5917 info@otbmanagement.com Instructions to applicants: -Please accurately fill out the entire application
More informationIntroducing CashPay. The payroll card that delivers convenience and purchasing power. CashPay Card Guide
Introducing CashPay The payroll card that delivers convenience and purchasing power CashPay Card Guide Get started with CashPay card convenience now When you enroll to have your pay direct deposited to
More informationTANF FUNDS MAY BE USED TO CREATE OR EXPAND REFUNDABLE STATE CHILD CARE TAX CREDITS
820 First Street, NE, Suite 510, Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org http://www.cbpp.org October 11, 2000 TANF FUNDS MAY BE USED TO CREATE OR EXPAND REFUNDABLE STATE
More informationRetractable Banner Stand Order Form
Retractable Banner Stand Order Form SHOW LANDSCAPE ONTARIO CONGRESS DATE December 13, 2018 LOCATION Toronto Congress Centre SHOW DATES January 8 10, 2019 COMPANY BOOTH # CITY PROV / STATE POSTAL/ ZIP CONTACT
More informationFSL Agency/Agent Data Sheet
Fidelity Security Life Insurance Company 3130 Broadway Kansas City, MO 64111 www.fslins.com Agent # Date FSL Agency/Agent Data Sheet OMISSION OF ANY INFORMATION WILL RESULT IN A DELAY OF APPOINTMENT AND
More informationOpen Call to Spruill Arts Students and Faculty
Open Call to Spruill Arts Students and Faculty The Spruill Center for the Arts is proud to announce the annual Student & Faculty Juried Exhibition, a judged collection of work by students and instructors
More informationRENTAL CONTRACT Rental #: Organization s/ Individual s Name. *Cleanup must be completed by 5pm. Maximum event duration 4 hours..
RENTAL CONTRACT Rental #: Date of Event Today s Date Organization s/ Individual s Name Home Phone Cell Phone Email Type of Event. of Guests Setup Time Event Time (From) (To) *Cleanup must be completed
More informationAgent Name Agency Name Agent # Agent Phone # Agent
Gerber Life Insurance Company PERSONAL INFORMATION APPLICATION FOR: INDIVIDUAL LIFE INSURANCE PROPOSED INSURED: (Give full legal name) Agency Application Agent Name Agency Name Agent # Agent Phone # Agent
More informationMedStart-5. Application for Assistance
MedStart-5 Application for Assistance Transportation Meals Assistance Utilities Co-Payments Adult Home Care Lab Testing For application help, contact us at 1-888-842-2654 To apply for benefits, follow
More information