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[[Blank form]] To The Print Bulletin CREATIVE ART 66 FIFTH AVENUE NEW YORK CITY TELEPHONE ALGONQUIN 4-2900 NAME OF GALLERY [[blank line]] ADDRESS [[blank line]] AUTHOR OF PRINT [[blank line]] NAME OF PRINT [[blank line]] ETCHING, WOODCUT, LITHOGRAPH, ETC. [[blank line]] NUMBER OF PROOFS PRINTED [[blank line]] SIZE [[blank line]] PRICE [[blank line]] DATE OF ISSUE [[blank line]] (Use reverse for additional information)