Submission Form

First Name

Last Name

Email Address

Phone no.

Which show are you submitting to? Which show are you submitting to?Headwaters Arts Fall festival

Number of Images Being Submitted (max 5) Number of Images Being Submitted (max 5)12345

Image 1 Title

Image 1 Size ( H x W in inches)

Image 1 Medium

Image 1 Price (dollars, no cents)

Image 2 Title

Image 3 Title

Image 4 Title

Image 5 title

Artist Statement

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