Artist Entry Form
This form should be filled out by Artists looking for representation or to join Black Rectangle Collective exhibitions. Please provide accurate information and samples of works made in the last 12 months.
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:
*
Mobile Phone:
E-mail:
*
Website:
Media:
*
Painting
Photography
Drawing
Paper/Mixed Media
Glass
Ceramics
Pottery
Sculpture
Installation
Metal works
Other
Other Media:
Artist Statement
*
Please give an any additional description of your work or your process that you deem required.
Artwork Description:
*
Work Sample #1:
*
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Work Sample #2:
*
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Work Sample #3:
*
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