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2. 
4. Artist's Name
6. Mailing Address
8. City
9. State
10. Zip Code
12. Email Address
13. Website
15. Phone (Primary)
16. Phone (Secondary)
18. Check the categories into which your work falls:

    1. Watercolor Painting
    2. Acrylic Painting
    3. Oil Painting
    4. Other Painting
    5. Graphite Drawing
    6. Pastels Drawing

    1. Pen and Ink Drawing
    2. Colored Pencil Drawing
    3. Other Drawing
    4. Photography
    5. Illustration
    6. Graphic Art

    1. Multi-Media
    2. Poetry
    3. Spoken Word Poetry
    4. Singer/Songwriter
    5. Storytelling
    6. Other
20. Brief biography of the artist (50-100 words)
22. Briefly describe the program or presentation you would like to give (if you are interested in this aspect of the program).
26. All artists should submit five digital images for evaluation. Images submitted should be no smaller than 1500pxl x 500pxl x 100 dpi in jpg or pdf formats. The images must be labeled with the artist’s name, medium, size and title of work.
    
    Poets, spoken word poets and singer songwriters should submit 5 poems or electronic samples of their audio work. It is important to remember that there must be a visual two-dimensional wall exhibit of their work for the gallery, as well as a 1/2 hour presentation of their work in a reading, speaking or musical program.
    
    
28. Work Sample 1
29. Work Sample 2
31. Work Sample 3
32. Work Sample 4
34. Work Sample 5
38. By signing and submitting this completed application, all claims for any loss, damage, destruction or injury are waived by the exhibitor.
40. Signature (Type your full name here to serve as a digital signature.)
41. Date
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

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