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2. Registration Information

   Please fill in all of the information below. Once it is filled out, please upload a picture or digital file of your work. Once submitted we will contact you regarding dates for when your art will be displayed. If your artwork gets purchased, you will be contacted to retrieve your payment. At the end of the show you will be contacted to come and pick your artwork up. If you have questions, please call the Arts and Culture Coordinator, Coleen at 928-759-3127 or email artsandculture@prescottvalley-az.gov.

4. First Name
5. Last Name
7. Email Address or Phone Number*
9. Title of Artwork*
11. Medium used*
13. Is Your Artwork for Sale?*
    -- Select One --YesNo
14. How much is it?
16. Would You Like to Remain Anonymous?*
    -- Select One --YesNo
18. Upload up to 3 images of your Artwork.

    Artwork #1

20. Upload your Artwork

    Artwork #2

22. Upload your Artwork

    Artwork #3

24. Please Type Your Full Name in Place of a Signature*
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field