FISAE CGD Ex-libris Competition Participation Form

(The form can be printed and filled out in English, French or German, Spanish and Italian

 

Please send to:                                     CLOSING DATE: March 5, 2004

FISAE Ex-libris Competition

c/o Benoξt Junod,

21, Route de Lullier,

1254 - Jussy (GE), SWITZERLAND

 

Name, Family name:

 

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 Address:

 

 

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 Tel. and Fax. Nos.:

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 E-mail address:

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Nationality, Date of birth :

 

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 Curriculum vitae / Short biography

( ± 200 words or 1300 characters)

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 Awards received for graphics and/or ex-libris (date, award)

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EX-LIBRIS No 1

Name of owner:   ................................................................................................................................

Subject:               .…............................................................................................................................

Size of printed area: (mm high x mm wide)       ..................................................................................

Description of the way in which the ex-libris was made and printed :

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EX-LIBRIS No 2

Name of owner:   ................................................................................................................................

Subject:               .…............................................................................................................................

Size of printed area: (mm high x mm wide)       ..................................................................................

Description of the way in which the ex-libris was made and printed:

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EX-LIBRIS No 3

Name of owner:   ................................................................................................................................

Subject:               .…............................................................................................................................

Size of printed area: (mm high x mm wide)       ..................................................................................

Description of the way in which the ex-libris was made and printed:

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 EX-LIBRIS No 4

Name of owner:   ................................................................................................................................

Subject:               .…............................................................................................................................

Size of printed area: (mm high x mm wide)       ..................................................................................

Description of the way in which the ex-libris was made and printed:

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EX-LIBRIS No 5

Name of owner:   ................................................................................................................................

Subject:               .…............................................................................................................................

Size of printed area: (mm high x mm wide)       ..................................................................................

Description of the way in which the ex-libris was made and printed:

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 Posted: July 2004

© (1997-2003) José Vicente de Bragança (Portugal) & J. Stewart LeForte (Canada), editors