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*

PaintingDrawingPhotographyOther
Image Description
Title/s*
Year

YearMonthDay
Additional Comments
Upload Image*

Can upload more than one image
Cancelof
Date

MonthDayYear
Date
Should be Empty:

Courthouse Artwork Submission Form