Wilaya de Batna
                                                          Direction de la culture
                                             Association PRISMA des arts plastiques

                                          
Salon Maghr�bin de la Sculpture

                                                   
Formulaire d'inscription

L'artiste :................................................................................................................................

Ecole ou Institut:......................................................................................................................

Autodidacte:............................................................................................................................

Pays.............................................. Ville .................................................................

Titres des oeuvres :
  1/..........................................................................................................................................
 
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Adresse :.................................................................................................................................
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T�l�phone
              Fixe :............................................
              Mobil :..........................................
Fax :...........................................................
E-Mail :....................................................................................................................................
Parcours Artistique :.................................................................................................................
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                   Emargement de l'artiste                                                        Visa de PRISMA

Ce formulaire accompagn� d'une photo nous permettra de r�aliser le catalogue et le  depliant relatifs au salon.
Contact:
Te l:
+213 771 79 53 63
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