télécharger 19.95 Kb.
|
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Nom :………………………………………………………………………………………………………………………………………………………………………….... Prénom :………………………………………………………………………………………………………………………………………………………………………… Nationalité :…………………………………………………………………………………………………………………………………………………………………… Adresse :………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………. Code postal :…………………………………………………………… Ville :…………………………………………………………………………………………… :…………………………………………………………………………. :………………………………………………………………………………………………. :………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………… ![]() Cochez la case vous correspondant : peinture graphisme sculpture multimédia photographie art numérique vidéo autres (précisez) :……………………………………………………………………………………… Performance ou installation prévue :……………………………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. Texte explicatif de la démarche artistique :………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………………………………………………………………………............................................................................................................................................................................................ Pièces à fournir :
Ce dossier est à retourner avant le samedi 15 Août 2015.
Angle des rues Osman DUQUESNAY & François MITTERRAND 97290 le MARIN
Une enveloppe affranchie au tarif en vigueur libellée à vos nom et adresse
|
![]() | ![]() | ||
![]() | ![]() | ||
![]() | ![]() | ||
![]() | ![]() | ||
![]() | ![]() |