First Name *

Last Name *

Address *

Address Line 1

Address Line 2

City

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Zip Code

Phone *

Instagram account for social media promotion (optional)

Email *

Title *

Medium - Select from the list below: *OilAcrylicWatercolorPastelGraphite/CharcoalMixed MediaSculptureOther

Size - Must be 15 inches or less on the longest side, including frame. *

Price *

Image - Please crop the image to remove any background or frame and use the following file naming format: Last name_ First name _Title_ medium _height x width _$price. *

Click or drag a file to this area to upload.

Entry Fee

Price: $ 10.00

Phone

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