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Mirrors Entry Fee Form

 

Mirrors of the Mind 7: The Psychotherapist as Artist

VISUAL ARTS ENTRY FEE GUIDELINES

 

FEES MUST BE RECEIVED BY September 10, 2018:  You may submit up to 3 pieces of art per medium (e.g., water colors; oil paints; sculpture; drawings; photography). There is a nonrefundable $25 artist submission fee per piece for Los Angeles County Psychological Association (LACPA) members, a $35 fee per piece for non-LACPA members, and a $20 fee per piece for psychotherapy students.

 

Name ___________________________________________   Degree ______________

 

Address_______________________________________________________________

 

City/Zip _______________________________________________________________

 

Phone Number _________________________________________________________

 

Email Address _________________________________________________________

 

TO PAY ONLINE:  CLICK HERE

 

TO PAY BY MAIL: MAKE CHECK PAYABLE TO LACPA

WRITE: Mirrors of the Mind 7 in the memo line.

 

MAIL CHECK OR CREDIT CARD INFO TO:

LACPA

6345 Balboa Blvd., Suite 126

Encino, CA 91316                                                                                 

 

Your check or credit card information must be received by September 19, 2018 in order to qualify for exhibition submission. In situations where the artist submission fee is a financial hardship, contact Dr. Pamela McCrory by email: mccroryphd@earthlink.net.

 

 

TO PAY WITH CREDIT CARD COMPLETE AND MAIL INFORMATION BELOW:

 

VISA OR MASTERCARD NO. __________________________________________________

EXPIRATION DATE____________   

 

THREE SECURITY NUMBERS ON BACK OF CARD ____________


NAME ON CREDIT CARD _____________________________________________________


BILLING ADDRESS FOR THIS CREDIT CARD____________________________________

 

CITY_________________________________________ AND ZIP CODE________________

more Calendar

11/15/2018
LACPA Board of Directors Meeting

11/15/2018
Sport & Performance Psychology Special Interest Group - Cancelled

11/24/2018
Mirrors of the Mind 7: Reception

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