Article Receipt

Art Submission Form**

**Please complete one form per accessions period. Box 2262, 1723 Hollis St. Halifax, NS B3J 3C8 (902)424-3087
→ Please note, filling out this form automatically creates a PDF (confirmation email will be sent upon completion) Contact us at asar@novascotia.ca should you need assistance.

*Required Information
Please check one, if applicable:
Optional for new artists: how did you hear about the gallery?
HST # PLEASE NOTE: HST numbers must also be emailed to asar@novascotia.ca
Accessions Date --All artwork will be considered for the upcoming themed show, if applicable, and regular accessions if not. If submitting for the Pride show, please indicate this in the "notes" section below.

MonthDayYear
Date
Last Name, First Name
Full Mailing Address Including Postal Code
PLEASE NOTE: If you have a change of address, send email confirmation of your new address to asar@novascotia.ca
Email
Website
Phone
Format: (000) 000-0000.
Please fill in title, edition # for prints & photographs, price, medium, surface, framed dimensions and unframed dimensions (in inches).
Title of first work (without commas)
include edition # where applicable (for photographs and prints)
Price of first work
Medium of first work
Surface of first work *Note: for sculptures, please choose "base" and add your base material to the notes section at the end of the form*
If there are any questions about a surface not present in this form, please contact us.
Framed height of first work (inches), if applicable
Framed width of first work (inches), if applicable
Unframed height of first work (inches)
Unframed width of first work (inches)
Depth of first work (if applicable, ie. for sculptures and 3-dimensional works)
1 Accessions #
JPG image of first work (please include images of the work unframed and framed, if applicable).

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- Last Name, First Name
- Title of second work (without commas)
  include edition # where applicable (for photographs and prints)
- Price of second work
- Medium of second work
- Surface of second work *Note: for sculptures, please choose "base" and add your base material to the notes section at the end of the form*
  If there are any questions about a surface not present in this form, please contact us.
- Framed height of second work (inches), if applicable
- Framed width of second work (inches), if applicable
- Unframed height of second work (inches)
- Unframed width of second work (inches)
- Depth of second work (if applicable, ie. for sculptures and 3-dimensional works)
- JPG image of second work (please include images of the work unframed and framed, if applicable).
  
  Cancelof
- 2 Accessions #

- Last Name, First Name
- Title of third work (without commas)
  include edition # where applicable (for photographs and prints)
- Price of third work
- Medium of third work
- Surface of third work *Note: for sculptures, please choose "base" and add your base material to the notes section at the end of the form*
  If there are any questions about a surface not present in this form, please contact us.
- Framed height of third work (inches), if applicable
- Framed width of third work (inches), if applicable
- Unframed height of third work (inches)
- Unframed width of third work (inches)
- Depth of third work (if applicable, ie. for sculptures and 3-dimensional works)
- JPG image of third work (please include images of the work unframed and framed, if applicable).
  
  Cancelof
- 3 Accessions #

- Last Name, First Name
- Title of fourth work (without commas)
  include edition # where applicable (for photographs and prints)
- Price of fourth work
- Medium of fourth work
- Surface of fourth work *Note: for sculptures, please choose "base" and add your base material to the notes section at the end of the form*
  If there are any questions about a surface not present in this form, please contact us.
- Framed height of fourth work (inches), if applicable
- Framed width of fourth work (inches), if applicable
- Unframed height of fourth work (inches)
- Unframed width of fourth work (inches)
- Depth of fourth work (if applicable, ie. for sculptures and 3-dimensional works)
- JPG image of fourth work (please include images of the work unframed and framed, if applicable).
  
  Cancelof
- 4 Accessions #

- Last Name, First Name
- Title of fifth work (without commas)
  include edition # where applicable (for photographs and prints)
- Price of fifth work
- Medium of fifth work
- Surface of fifth work *Note: for sculptures, please choose "base" and add your base material to the notes section at the end of the form*
  If there are any questions about a surface not present in this form, please contact us.
- Framed height of fifth work (inches), if applicable
- Framed width of fifth work (inches), if applicable
- Unframed height of fifth work (inches)
- Unframed width of fifth work (inches)
- Depth of fifth work (if applicable, ie. for sculptures and 3-dimensional works)
- JPG image of fifth work (please include images of the work unframed and framed, if applicable).
  
  Cancelof
- 5 Accessions #

Art Submission Form**

→ Please note, filling out this form automatically creates a PDF (confirmation email will be sent upon completion) Contact us at asar@novascotia.ca should you need assistance.