*required
Name*:
Address:
Phone:
E-mail*:
Title of Show You Are Entering:
Name of Your Art Submission:
Medium:
Dimensions: (specify general height x width x depth)
Category: (Please check one that most closely represents who you are)
Professional Artist Art Student Amateur Artist Child
Youth
Is your entry for sale or only for viewing?
For sale Price (gallery commission is 40%)
For viewing only
Attach Artwork .jpg (no larger than 500k)