Form in English

Yes! I would like to be added to the invitation list for openings and other special activities at the Galerie Quint-Essences!

We would prefer having the option of using an e-mail address, of course, as it is less expensive for the artists who are responsible for sending out the invitations, but if you do prefer postal delivery, please feel free to include your regular address and so indicate. Thank you.

Fill out the form and click on "Envoyer" - it wil be returned to the Gallery via e-mail at info@galerie-quint-essences.ch or if you prefer, you may send it back by snail mail via the Galerie Quint-Essences, Gare de Bevaix, 2022 Bevaix, Suisse.

Any information which is preceeded by a * is required. 

Do keep us updated on address changes or if you wish to be removed from the list at some point.

Thank you and Welcome to our growing family of friends!

Yes! Please add me to the invitation list! 

* Title (Mr., Mrs., Ms., Miss or Mr. & Mrs.) : 

* Last name, First name :

Mailing address (choose either home or business). If business, please insert company name here:

* Number, Street and any additional information (ex. Residence, Building, Floor) : 

* Zip (Postal code), City or Town, State/Canton :

 * Country :

* E-mail if you have it (we prefer to send invitations by e-mail for financial reasons) :  

Web site / URL : http://

Day time and/or evening Phone Numbers (in case of cancellation of activity) :

Please use area code followed by your number and the following indication (Home/Business/Portable) .

For example : Anytime +41 79 255 0308 P

What interests me the most is :

(oil paintings, water colors, pastels, modern, abstract works, installations, sculpture, artisan arts, etc. - or concerts, literary evenings or discussions in English, personal development coaching or art + coaching, etc.) 

  

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