Heartland Artist Exhibition

2. First Name*

3. Last Name*

5. Address*

7. City*

8. State*

9. Zip Code*

11. Phone No.*

12. Email Address*

14. Artwork Entry Information

16. 1. Title*

18. Sale Price*

19. Medium*

20. *Framed Size*

22. 2. Title

24. Sale Price

25. Medium

26. *Framed Size

28. 3. Title

30. Sale Price

31. Medium

32. *Framed Size

34. *Framed Size (40"maximum either direction)

36. Download digitals to dropbox (max. of 3)
    Dropbox

37. Each digital no larger 2MB

39. Dropbox will open a new tab to download your digitals. Please close Dropbox, come back and click "Submit" or "Submit and Print" at the bottom to complete your entry.

41. After we receive your entry we will call you to process the $45 entrance fee. Thank you!

Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit Submit and Print

* indicates a required field