Apply

Participate in writing, collage, drawing, cut-out (or any other act of personal creation) on the verso and/or recto of the card.

If you wish to intervene in the form of a written text, please write this in your mother tongue if possible.

Send me your artwork (preferably without an envelope if your intervention allows it) to the following address :

Joel  Lambert
Lotsestraat 40
1650 Beersel – Belgique

SELECTION AND REQUEST FOR AN IMAGE

Please fill in the form and return it to me.

The card you select will be sent to you by post.

Thank you.

Nom & Prénom / Name & Firstname : *
Email : *
GSM / Phone : *
Rue & Numéro / Street & Number :  *
Code postal / Postcode :  *
Localité / Town :  *
Pays / Country :  *
Numéro(s) image(s) souhaitée(s) / Desired image(s) : 

 *

 

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