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Name: Company (if applicable): Address: City: State: Zip: Social Security Number: Daytime Phone: () Email: Course Title: Art4Healing Certificate Program Session: (check one) Fall 20132014 Intro/EFC

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1. Individuals or organizations working in the field of visual arts who require a comprehensive platform for showcasing and sharing their artwork.
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Untitled - art amp is a form used to report information on artwork and art transactions for tax purposes.

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