6 x 6 Submission Form

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6 x 6 Submission Form

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* Indicates required question

Email *

Your email

Name *

Your answer

Title *

Your answer

Medium *

Your answer

Phone Number *

Your answer

Proceeds *

I would like to follow the 60/40 split ($12 CCA/$8 Artist)

I would like to donate all the proceeds to CCA Arts Programming

I created this during a Create Night

If you choose to follow the 60/40 split, please include your address below.

Your answer

A copy of your responses will be emailed to the address you provided.

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