Preview Form - Art Quilt Elements 2012

 

Note: This is not the real form. It is a preview so you may see the application in advance.

 

Artist Info:

First Name

 

Middle Initial

 (optional)

Last Name

 

Street

 

 

 (optional)

City/Town

 

Zip Code/Postal Code

 

State/Province
(where applicable)

 

Country

 

Day Phone Number
(include area code or country code)

 

Email Address

 

 

Terms and Conditions:

I agree to loan my artwork to the Wayne Art Center. I understand that the costs of shipping my artwork, each way, are my responsibility. I further agree to permit the use of images and detail images and/or all or part of my artist’s statement to be used in the exhibit catalog, articles, ads, promotions, books, websites, blogs, CD’s, current event news coverage, television productions, and/or multi-media productions for and about exhibit or for and about the shows at which the exhibit may be seen.

Where did you hear about us?

Quilt Info:(You may enter three quilts)

Title

 

Dimensions

(Enter Numbers Only)

 (Horizontal)
 (Vertical)

  OR

Dimensions

If Framed

(Enter Numbers Only)

 (Horizontal)
 (Vertical)

Choose Units of Measure:

Date Completed

Must be after Jan 1, 2009

Quilt Inspiration:

 
(100 words or less)

Materials

 
(Include Surface Design Techniques)

Techniques

 
(Specify Whole Cloth, pieced, appliqued, fused, other, hand or machine quilted)

Value

USD

 

Sale Price

USD

 

Required. Art Center gets 40%. Max price is $15,000.

Photographs

  • Submit one overall digital image and one detail digital image for each piece of artwork.
  • Digital images must be saved as a high quality JPEG file (No TIFF files).
  • Finished images should be 1800 pixels on the longest side.

Upload Overall Image

Upload Detail Image