SECOND ANNUAL
JURIED ART EXHIBIT

ENTRY FORM
(Printable form)
Please type or print legibly 

Artist’s Name______________________________________________

Street____________________________________________________

City______________________________________________________

State________________ Zip_______________

Phone_________________________________

Email_________________________________

Category_______________________________

ENTRIES

1. Title______________________________________________________

Medium_______________________________

Price_______________________________ (NOTE: Upon delivery, art will be insured for this amount.) 

For Sale          Not For Sale

 2. Title______________________________________________________

Medium_______________________________

Price_______________________________ (NOTE: Upon delivery, art will be insured for this amount.) 

For Sale          Not For Sale

AGREEMENT

Submission of work to the exhibition will constitute an agreement to comply with all rules, conditions, and requirements listed in this form.  The museum reserves the right to reject any work.  All work must be free standing or ready to hang (no uni-frames).  The museum and council reserve the right to photograph work for publicity and documentation purposes. 

Signature______________________________________________________

Make checks payable to: Williamsport-Lycoming Arts Council
Send completed form and checks to:
Williamsport-Lycoming Arts Council
PO Box 54

Williamsport PA  17703

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