FICHA DE INSCRIÇÃO MOSTRA COLETIVA - SHOPPING AMÉRICO SILVA
12/06/2019
FICHA DE INSCRIÇÃO
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Nome: |
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1 - DADOS PESSOAIS (Se for um grupo, dados do Responsável)
Nascimento: ____/____/________ Naturalidade: _________________________________
Sexo: [ ] Masc. [ ] Fem. Idade: ____________
Identidade: __________________ Órgão Emissor: ____________ Data ____/____/______
CPF: ________________________ Nacionalidade: ________________________________
É um grupo? ______ Quantos Artistas?______________
Endereço Residencial:
Rua/Av.: ________________________________________________ nº _____ Compl. ___
Bairro: _____________________________________________CEP: ___________ - _____
Cidade/UF.: ____________________ _______Telefone: Res. ( ) __________________
Telefone: Cel : _____ ________________ E-mail: ________________________________
Dados da Obra(s):
Títulos da Obras, Técnicas e Preço (Caso seja um grupo, incluir nome do artista):
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