Artist Registration Form
Fill this form correctly and ensue you give us your area of interest and sample of your previous works
Artist Name
*
First Name
Last Name
Address
*
City:
*
State:
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code:
*
E-mail:
*
Phone Number:
*
Website:
Social Media
How did you hear about us?
*
Artist Statement:
*
Artist short Biography:
*
Artist Headshot:
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload up to 3 Artworks included in the application Fee of $30
*
Upload a File
Drag and drop files here
Choose a file
Name each file by the Title of each Artwork
Cancel
of
All 3 Artworks Description:
*
Title, Medium, Size, Price, Artwork Description/story
Upload Up to 6 additional Artworks submission Fee of $45
Upload a File
Drag and drop files here
Choose a file
Cancel
of
All 6 Artworks Description:
Title, Medium, Size, Price, Artwork Description/story
Application Fee
*
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( X )
Up to 3 Artworks (Keep Quantity to 1)
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Up to 6 Artworks (Keep Quantity to 1)
$
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Submit
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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