Pharmacopoeia Submission Form

Pharmacopoeia Submission Form

You can use this submission form to upload 1 image ONE TIME. You may use the traditional submission form to submit 3 images.
Name*

First NameLast Name
Email*
Nationality*

CityState / Province / Territory

Postal / Zip CodeCountry
Website (Optional)
Instagram (Optional)
Biography/Statement (Optional)

0/1500
Image Upload #1
Upload Image*

File types: jpg, jpeg, png
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Image Title*
The title of your image.
Image Description (Optional)

0/150
Medium*
Archival print, transfer on metal, etc.
Dimensions*
inches, centimeters, or size on request
Year*
What year did you create your work?
Price
$, €, £, NFS
How did you hear about our Pharmacopoeia call for entry?
How did you find our call for entry?
Should be Empty:

Image Upload #1