Application form for publication

    First Name

    Family Name

    Date of birth

    YearMonthDay

    Sex

    Adress

    Tel

    Email

    Genre of Artwork

    Your application details/span>

    Space to post

    Means of payment

    *We will notify you after submitting this form - Bank Transfer or Paypal only available -
    Nous vous contacterons après la soumission du formulaire — paiement par virement bancaire ou PayPal uniquement —
    We will contact you after the submission of the form — payment by Bank Transfer or PayPal only —
    If you choose PayPal, an invoice will be sent to your email address.
    If you choose bank transfer, our bank details will be provided after we receive your form.

    month to pay

    Plan to send images of artwork

    Recommandation : 350dpi, 1400×2000 pixel or more