Artist Application Form

Artist Registration Form

Fill this form correctly and ensue you give us your information and work submission.
Name

First NameLast Name
Business Name:*
Address:*
City:*
State:*
Zip code:*
Business Phone:*
Mobile Phone:
E-mail:*
Website:
Media:*

Painting - fine artPainting - decorativePhotographyLeatherDrawingPaper/Mixed MediaGlassWood – furnishingsWood - decorativeCalligraphyCeramicsPotterySculptureMusicToysJewelryFloralFabric – clothingFabric – decorativeWeaving (fabric/other)Metal worksOther
Other Media:
Please give an additional description of your work, including information about the process used to create your artwork.
Artwork Description:*
Work Sample #1:*

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Work Sample #2:*

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Work Sample #3:*

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Work Sample #4:*

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Would you be interested in doing a demonstration?
Demo:*

YesNo
If yes, what technique or craft would you be demonstrating?
Technique:
Should be Empty:

Artist Registration Form