Group Show Artist Information Form

    * indicates required field

    *First Name: *Last Name:
    *Telephone number:

    Shipping Address for return:
    *Address 1
    Address 2
    *ZIP/Postal Code
    Countryoptional except those outside of US

    Return Shipment Costs

    *I will send pre-paid UPS or USPS label or postage: yesno
    OR *I will pay the gallery for UPS or USPS shipping costs: yesno

    Return Shipment Notes:
    1) Insurance over the carrier standard insurance will be added at your instructions only.
    2) International participants: shipping arrangement will be made via email with the gallery separately.

    Please provide additional information about the image that has been accepted for the show:
    Image Information
    *Image Title:
    *Portfolio Title (if part of a series or enter "none"):
    *Print Dimensions (height and width inches):
    Framed Dimensions (height and width inches) (if applicable):
    *Size of edition (or "none"):
    *Process (e.g., inkjet, pigment, silver gelatin, digital c-print, etc.):
    *Price of print only:
    Framed Price (if applicable):
    *Other sizes available? (provide dimensions, edition, process, and price for each, if any. Enter "none" for for none):

    Artist Statement(written in first person) (not more than 150 words):

    Artist Bio(Written in 3rd person) (not more than 150 words):