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Application
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Feel free to attach additional pages if necessary.
Name:
Address:
City:
State:
Zip:
Email Address:
Telephone Number:
Title:
Painting, Photograph, or ???:
Size:
Media:
Image attached/enclosed?:
Is this item for sale? If so, price?
Description, Background or Comments:
Title:
Painting, Photograph, or ???:
Size:
Media:
Image attached/enclosed?:
Is this item for sale? If so, price?
Description, Background or Comments:
Title:
Painting, Photograph, or ???:
Size:
Media:
Image attached/enclosed?:
Is this item for sale? If so, price?
Description, Background or Comments:
Are digital images of your work(s) attached to this message? (JPEG preferred, under 200 MB each.)
Will you be attending the Evanston Conference?
If not, do you need assistance in having your work shipped or delivered to and from Evanston?
Will you be attending the Artists & Photographers Roundtable Discussion at the Evanston Conference?
Artist's/Photographer's statement or biography:
Any questions, comments or concerns?