Juried Show Entry

Artist Name*:

Street*:

City*:

State*:
Zip*:

Email*:

Website:

Home Phone:

Cell Phone:

I am a member of The Center for Contemporary Art.  Yes No

I am an Art Educator and teach at:  Yes No

Submit your Artist Bio (Optional - MS Word or PDF file):

The entry fee is $35. (If you are a Member or Art Educator the fee is $25.)
How to you wish to pay?  Check Credit card
(See payment instructions below after completing and submitting form.)

How did you hear about this show?

ARTWORK DESCRIPTIONS

Entry 1 (Required):

Title*:

Date*:

Dimensions (indicate units)*:

Medium*:

Insurance Value (US$)*:

Is this work for sale?  Yes No     If yes, enter sales price (US$):

Submit a photo of the work.*
File type must be jpeg. File size between 100KB and 1 MB.
Note: File name must use the following convention: lastname_firstname_entry1.jpg.

Entry 2 (Optional):

Title:

Date:

Dimensions (indicate units):

Medium:

Insurance Value (US$):

Is this work for sale?  Yes No     If yes, enter sales price (US$):

Submit a photo of the work.
File type must be jpeg. File size between 100KB and 1 MB.
Note: File name must use the following convention: lastname_firstname_entry2.jpg.

Entry 3 (Optional):

Title:

Date:

Dimensions (indicate units):

Medium:

Insurance Value (US$):

Is this work for sale?  Yes No     If yes, enter sales price (US$):

Submit a photo of the work.
File type must be jpeg. File size between 100KB and 1 MB.
Note: File name must use the following convention: lastname_firstname_entry3.jpg.