OHIO GOVENOR’S OFFICE EXHIBITION FORM |
Ohio Arts Council
30 E Broad St, 33rd Floor
Columbus, OH 43215-3414
614/728-4421
http://www.oac.state.oh.us/
Share the Arts
A. Artist Information |
A1. Artist’s Name |
Residence Address Home Phone( ) |
City, State, Zip+4 Work/Studio Phone( ) |
Email address Web site FAX( ) |
A2. Do you wish to be contacted through a representative? No (skip to Section B) Yes (If yes, please fill out the contact information below) |
Gallery Representative |
Gallery Name Phone( ) |
Gallery Address FAX( ) |
City, State, Zip+4
|
Fill out the accompanying form as completely as possible. The image description sheet must be completed.
Send a disc of your images saved as .jpg files. Do not send original artwork. Images should be saved as LastnameFirstnameimage number.jpg For example: SmithJohn1.jpg, SmithJohn2.jpg.
If you would like your image disc returned please enclose a self-addressed mailer with appropriate postage.
Please complete the image form describing each work you are submitting. If you need additional space (if you are submitting more than 15 images) please copy the form. Your images should be labeled on your disc using the image labeling convention above. The corresponding form should include the real titles of each piece. Please only include work that will be available for loan for a full year.
C. Image Description | ||
Image #1/Title | Image #2/Title | Image #3/Title |
Medium: Date Completed: | Medium: Date Completed: | Medium: Date Completed: |
Dimensions (H x W x D) | Dimensions (H x W x D) | Dimensions (H x W x D) |
Notes: | Notes: | Notes: |
Image #4/Title | Image #5/Title | Image #6/Title |
Medium: Date Completed: | Medium: Date Completed: | Medium: Date Completed: |
Dimensions (H x W x D) | Dimensions (H x W x D) | Dimensions (H x W x D) |
Notes: | Notes: | Notes: |
Image #7/Title | Image #8/Title | Image #9/Title |
Medium: Date Completed: | Medium: Date Completed: | Medium: Date Completed: |
Dimensions (H x W x D) | Dimensions (H x W x D) | Dimensions (H x W x D) |
Notes: | Notes: | Notes: |
Image #10/Title | Image #11/Title | Image #12/Title |
Medium: Date Completed: | Medium: Date Completed: | Medium: Date Completed: |
Dimensions (H x W x D) | Dimensions (H x W x D) | Dimensions (H x W x D) |
Notes: | Notes: | Notes: |
Image #13/Title | Image #14/Title | Image #15/Title |
Medium: Date Completed: | Medium: Date Completed: | Medium: Date Completed: |
Dimensions (H x W x D) | Dimensions (H x W x D) | Dimensions (H x W x D) |
Notes: | Notes: | Notes: |