Artwork Submission Form
AUGER GEO-GALLERY
Name
*
First Name
Last Name
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
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Website
Art
*
Paintings
Sculptures
Drawings
Mixed Media
Printmaking
Other
Art Specifications
Portfolio
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Image Description
Title
*
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*
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Year
Art Medium
Dimensions (L X W)
*
Price
Additional Comments
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*
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SUBMISSION ENTRY
ARTWORK SUBMISSION FOR AUGER GEO-GALLERY
£
3.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
£
0.00
Payment Methods
Credit Card
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