Display Application
Personal Information
Name *
Your answer
Organization (if applicable)
Your answer
Address
Your answer
Phone *
Your answer
Email *
Your answer
Display Information
Installation Date *
MM
/
DD
/
YYYY
Removal Date *
MM
/
DD
/
YYYY
Description of display, including medium *
Your answer
Public Contact Information
If you would like to display a website address, email, or phone number (which will be publicly visible alongside your name) for viewers interested in contacting you, please enter that information below.
Public contact details
Your answer
Please note: The Art Gallery Wall is an open space. The exhibitor should refrain from including irreplaceable items or those of great value on the wall.
By submitting, you agree to the following: I have received and read a copy of the Westmont Public Library Display Policy and agree to abide by all rules and regulations. Also, I hereby release the Westmont Public Library from any liability damages, destruction, loss or theft of any item or items that may occur during the display period or during the installation or removal of the exhibit. *
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