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Collector’s Legacy Impact Awards Submission Form
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1
NAME
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First Name
Last Name
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2
E-mail
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example@example.com
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3
Website, Facebook, Instagram or Any any page you would like to share. (Not required).
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4
MEDIA
*
This field is required.
Paintings
Sculptures
Drawings
Mixed Media
Printmaking
Textile Art
Ceramics
Street Art
Photography
Installation
Other
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5
SUBMISSION TYPE
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STANDARD SUBMISSION: Submit up to 5 Artworks
PREMIUM SUBMISSION: Submit up to 10 Artworks
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6
STANDARD SUBMISSION UPLOAD
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Max. file size
: 10.0MB
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PREMIUM SUBMISSION UPLOAD
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Max. file size
: 10.0MB
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8
ART SPECIFICATION
Please enter the information for your artworks: Title of Artwork, Media, Size
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9
Choose Your Submission Type To Process Payment
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STANDARD SUBMISSION IS ON PAGE 1 - PREMIUM SUBMISSION ON PAGE 2
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Great Product Name
$20
Quantity:
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
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$
75.00
+
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CLICK HERE TO CHOOSE PREMIUM SUBMISSION
$
145.00
+
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First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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