Art Submission Form

Courthouse Artwork Submission Form

Our People, Our Land, Our Communities: Celebrating Lackawanna County through Visual Art
Name

First NameLast Name
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website/Social Media
Art
Image Description
Title/s
Year

YearMonthDay
Additional Comments
Upload Image

Can upload more than one image
Cancelof
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Courthouse Artwork Submission Form