PLEASE
PRINT LEGIBLY Artist Name (over 18 yrs old)____________________________________ Address____________________________________________________ __________________________________________________________ Zip code_________________________________ Phone___________________________________ Email____________________________________ TOTAL
NUMBER of Artworks to be submitted ___________ At $10.00 per artwork submitted:
Total due $ _____________ Make checks payable to “HGAC” with "BarnArt" noted in the memo Send to: HGAC / BarnArt P.O. Box 4611, Gettysburg PA
17325 You will
be contacted by HGAC BarnART staff to confirm that your registration payment has been received. Fees are not refundable.
BarnART
Art Intake Form Art Intake: Saturday, June 7th from 10 AM – Noon 53 E.
Middle St. Gettysburg, PA PLEASE PRINT LEGIBLY Complete both parts of
this form, and attach it to EACH submitted artwork (max three artworks per adult artist). Indicate which piece will be entered into
the competition for cash prizes. Part ONE Medium______________________________
2D or 3D (circle one) Title________________________________________________________ Size of artwork (including frame) width___________height____________ Artist Name__________________________________________________
Age (Students under 18 years of age)_________ Adult Artists only: Is
this item for sale? (circle one) Yes
No If yes, what is the list price? $ ______________ USD This item is to be entered into competition for cash prizes: (circle one) Y N Artist ____________________________________________ Mail Address_______________________________________ __________________________________________________ Zip code____________ Artist Phone___________________________________ Artist email____________________________________ TOTAL
NUMBER of artworks submitted by this artist __________pcs.
Part TWO Medium______________________________
2D or 3D (circle one) Title________________________________________________________ Size of artwork (including frame) width___________height____________ Artist Name__________________________________________________
Age (Students under 18 years of age)_________ Adult Artists only: Is
this item for sale? (circle one) Yes
No If yes, what is the list price? $ ______________ USD This item is to be entered into competition for cash prizes: (circle one) Y N Artist Address________________________________________________________________________
Zip code____________ Artist Phone________________________________ Artist email____________________________________ TOTAL
NUMBER of artworks submitted by this artist __________pcs.
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