CALL TO ARTISTS APPLICATION FORM

APPLICATION TO EXHIBIT 2013

Name

Address

City

Postal Code

Day Phone

Email  

Detail of Proposed Exhibit

Medium Theme or Subject Matter

_________________________________

_________________________________

_________________________________

# of Pieces  ________ Price range _________________________

Preferred month ______________________

All pieces must be original, of exhibition quality and ready to hang/display.

Rollin Art Centre jury committee reserves the right to final  selection.

Name:  ___________________  Date:______________