Art Submission Form

Artwork Submission Form

Please keep in mind that the work must be appropriate to the theme. Your statement should be specific to this call.
Name *

First Name Last Name
E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Website
Artist Statement *
Portfolio
Image Description #1
Title *
Year Created *

Year Month Day
Medium *
Price
Additional Comments
Upload Image *
Image Description #2
Title
Year Created

Year Month Day
Medium
Price
Additional Comments
Upload Image
Image Description #3
Title
Year Created

Year Month Day
Medium
Price
Additional Comments
Upload Image

Submission Fee *

Submission Fee $ 15.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Should be Empty:

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