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Introductions 2015 Submission Form
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Please complete this form by June 1, 2015.
If you want to save this info for your records, print the completed form BEFORE you hit "Submit"
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Website
Your answer
Image #1
Please be sure to title the images you submit according to this order.
(Best practice is to title the image "01_Last name.jpeg")
Title of Artwork
*
(Type "Untitled" if that is the case)
Your answer
Media/ Materials
*
(i.e. Oil on canvas; Chromogenic print; Photo-collage on paper)
Your answer
Dimensions
*
Height x Width (x Depth if applicable) in inches (i.e. 20" x 20" x 4")
Your answer
Year
*
Your answer
Link
Web address of video link if applicable
Your answer
Image #2
Please be sure to title the images you submit according to this order.
(Best practice is to title the image 02_yourlastname.jpeg)
Title of Artwork
*
(Type "Untitled" if that is the case)
Your answer
Media/ Materials
*
(i.e. Oil on canvas; Chromogenic print; Photo-collage on paper)
Your answer
Dimensions
*
Height x Width (x Depth if applicable) in inches (i.e. 20" x 20" x 4")
Your answer
Year
*
Your answer
Link
Web address of video link if applicable
Your answer
Image #3
Please be sure to title the images you submit according to this order.
(Best practice is to title the image 03_yourlastname.jpeg)
Title of Artwork
*
(Type "Untitled" if that is the case)
Your answer
Media/ Materials
*
(i.e. Oil on canvas; Chromogenic print; Photo-collage on paper)
Your answer
Dimensions
*
Height x Width (x Depth if applicable) in inches (i.e. 20" x 20" x 4")
Your answer
Year
*
Your answer
Link
Web address of video link if applicable
Your answer
Image #4
Please be sure to title the images you submit according to this order.
(Best practice is to title the image 04_yourlastname.jpeg)
Title of Artwork
*
(Type "Untitled" if that is the case)
Your answer
Media/Materials
*
(i.e. Oil on canvas; Chromogenic print; Photo-collage on paper)
Your answer
Dimensions
*
Height x Width (x Depth if applicable) in inches (i.e. 20" x 20" x 4")
Your answer
Year
*
Your answer
Link
Web address of video link if applicable
Your answer
I have emailed these four images to
submissions@rootdivision.org
for the jurors to review.
*
Please be sure to title your pieces as described above.
Yes, I sent jpeg images of the pieces described in this form.
No, but I will email these images by June 1st, 2015
I have emailed my resume & artist statement to
submissions@rootdivision.org
for the jurors to review.
*
Please be sure to put your full contact info on the top of each page.
Yes, I sent these documents.
No, but I will send these documents by June 1st, 2015
Submission Fee
*
$20
Yes, I have paid the $20 Submission Fee via CIVI CRM at
https://www.rootdivision.org/civicrm/event/register?reset=1&id=651
No, But I will pay the $20 Submission Fee before June 1st via CIVI CRM at
https://www.rootdivision.org/civicrm/event/register?reset=1&id=651
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