Please use this form to submit artwork to one of our gallery shows. 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 Comments 8 + 4 = Submit