Artist Submission Form for Gala Please use this form to send us the info on the artwork you wish to submit. Have pictures ready to upload, if possible. Name* First Last Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Phone*Guidelines Please read and agree to these guidelines below. Artwork must be original, and the favored choice of the artist. All art must be for sale with only one exception as Not for Sale (NFS). No prints or reproductions please. Space will be allocated based on the order of applications received. Consent for publicity reproduction is considered granted unless otherwise stated. Eligible Mediums: Glass, wood, fiber, ceramics, wearable art, mixed-media, sculpture, painting, metal, photography, basketry, jewelry and printmaking. Presentation: Each piece must be appropriately framed, assembled, and wired for hanging. If the art piece(s) will not be hanging on a wall, then it is the artist’s responsibility to provide the free-standing display case / stands / pedestals for their work. Installation of displays will be made in assigned areas. It is the responsibility of the Exhibitor / Artist to provide the pieces in hanging condition with label identifying each piece with application: Title, Media, Size and Price Delivery: The Exhibitor / Artist must deliver the artwork to the display location as scheduled. Set-up: The facility team sets up the entire show. All care will be taken with your work. Ely Arts & Heritage Center is not responsible for any loss or damage. Sales: All artwork must remain on display until the end of the show and sale. 75% of sales will be artist’s percentage and items sold will be paid to artist within 5 days of the end of the show. What your 25% buys : Ely Arts and Heritage Center is a 501(c)3 organization which uses its funds for arts, educational and heritage programs. Pick-up: The Exhibitor must pick up the art from the facility by the specified date and time. Sold artwork will be available for pick up on the final day. Check the boxes below to indicate you agree to the Guidelines.Agreement 1* I have read and understand the above guidelines for the Gala Art Show & Sale. Agreement 2* I understand that if I choose to sell any art to persons attending the show, either during the show or within 10 days afterward as a result of the show, Ely Arts & Heritage Center will handle the sale of my art, with 75% to be paid to me within 15 days of the sale. Agreement 3* I understand and agree that Ely Arts & Heritage Center and its volunteers are not liable nor will be held responsible for any damage or loss due to theft that may occur to my art work. Agreement 4* I declare that the art to be shown is totally of my own creation. Agreement 5* I agree to follow the terms and regulations of the Ely Arts & Heritage Center Art Show. I also agree to indemnify and hold Ely Arts & Heritage Center harmless for any loss, claims or liability associated with my participation in the Artist’s Choice Show. Works SubmittedSelect total number of pieces you are submitting*Limit of 9 per artist in any one medium.123456789Item 1If you're going to list your only not for sale item, list it here. If all your items are for sale, go ahead and list them here as well.1- TitleOnly one piece can not be for sale. If you are planning on submitting a piece that you do not wish to sell, please enter it here.1 - Medium1 - Is this piece framed?YesNoDoes not apply1 - Dimensions*1- Is this piece for sale?This is the only piece that can not be for sale.YesNo1- Price1-PhotoIf you have a photo of this piece, upload it now. 2 MB limitAccepted file types: jpg, gif, png, pdf.Item 22-Title of Work2-Medium2-If a hanging piece, is it framed?YesNoDoes not apply2-Dimensions*2- Price2-PhotoIf you have a photo of this piece, upload it now. 2 MB limitAccepted file types: jpg, gif, png, pdf.Item 33-Title of Work3-Medium3-If a hanging piece, is it framed?YesNoDoes not apply3-Dimensions*3- Price3-PhotoIf you have a photo of this piece, upload it now. 2 MB limitAccepted file types: jpg, gif, png, pdf.Item 44-Title of Work4-Medium4-If a hanging piece, is it framed?YesNoDoes not apply4-Dimensions*4- Price4-PhotoIf you have a photo of this piece, upload it now. 2 MB limitAccepted file types: jpg, gif, png, pdf.Item 55-Title of Work5-Medium5-If a hanging piece, is it framed?YesNoDoes not apply5-Dimensions*5- Price5-PhotoIf you have a photo of this piece, upload it now. 2 MB limitAccepted file types: jpg, gif, png, pdf.Item 66-Title of Work6-Medium6-If a hanging piece, is it framed?YesNoDoes not apply6-Dimensions*6- Price6-PhotoIf you have a photo of this piece, upload it now. 2 MB limitAccepted file types: jpg, gif, png, pdf.Item 77-Title of Work7-Medium7-If a hanging piece, is it framed?YesNoDoes not apply7-Dimensions*7- Price7-PhotoIf you have a photo of this piece, upload it now. 2 MB limitAccepted file types: jpg, gif, png, pdf.Item 88-Title of Work8-Medium8-If a hanging piece, is it framed?YesNoDoes not apply8-Dimensions*8- Price8-PhotoIf you have a photo of this piece, upload it now. 2 MB limitAccepted file types: jpg, gif, png, pdf.Item 99-Title of Work9-Medium9-If a hanging piece, is it framed?YesNoDoes not apply9-Dimensions*9- Price9-PhotoIf you have a photo of this piece, upload it now. 2 MB limitAccepted file types: jpg, gif, png, pdf.Payment1-3 Pieces* Price: $20.00 4-6 Pieces* Price: $30.00 7-9 Pieces* Price: $40.00 Total $0.00 MessageCAPTCHA