Agora Gallery exhibition – Venice 2019 Artist Application I hereby would like to apply to participate in the exhibition which will take place in the Plazzo Mora in Venice during the 2019 Venice Biennale. I understand that payment of the entry fee deposit doesn't guaranty participation and will be fully refunded if I am not accepted. If I am selected the balance will be due by March 24th. Name* First Last Email* Which artworks you would like to exhibitVenice 2019 - Entry Deposit*Please let us know how much space you will require 12 ft - Total Price $6,800 - Now Due $1,360 18 ft - Total Price $9,800 - Now Due $1,960 30 ft - Total Price $16,200 - Now Due $3,240 55 ft - Total Price $29,700 - Now Due $5,940 110 ft - Total Price $58,600 - Now Due $11,700 Payment Method* Credit Card Paypal Credit Card* American ExpressDiscoverMasterCardVisaJCBMaestroSupported Credit Cards: American Express, Discover, MasterCard, Visa, JCB, Maestro Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name
