Isle of Wight Council

Isle Of Wight Libraries Art Exhibition Application Form

*

IMPORTANT Please read the Customer Information  which contains the terms and conditions Please tick this box to confirm you have read and accept the terms and conditions

I apply for space at the Isle of Wight Council named below and understand that this is a provisional booking (subject to inspection of exhibits and availability of space) until confirmed by Isle of Wight Libraries. Confirmation will be sent to you within 5 working days.

Upon receipt of such confirmation I undertake to accept the conditions of exhibiting detailed in the Customer Information above.

Applicant Name

	Title
*	Forename
	Middle name/Initials
*	Surname

Exhibiting Name (if different)

Date of application

Applicant Address

*	Building/house name/number
*	Street address
*	Town Name
	County
*	Postcode
	Tel Number (include area code)
	Email address
	Fax

Exhibition Details

	Name of Library to which you are applying
	Type of exhibition (say which media)

Date Preferred

Alternative Date if above not available

Previous Exhibitor

Yes No

Work seen by Library Manager

Yes No

Please Note

If you are a new exhibitor, please arrange for examples of your work to be seen by the Library and Information Services Coordinator

If you have any queries about your application contact Library Headquarters by email ([email protected] ) by phone (01983 203880), by fax (01983 230899) or by post Library HQ, 5 Mariners Way, Somerton Industrial Estate, Cowes, Isle of Wight, PO31 8PD

	Data Protection Act 1998
	This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request. The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy . Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest. Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law. Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box

Date printed: 07/03/2013