Submit for: General Submission Ballard Gallery Belltown Gallery Georgetown Gallery Kunstkammer PDX

First Name Last Name

Address 1

Address 2

City State ------- AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Zip

Website

Phone - - Email

Description: (500 words or less - type here or cut and paste)

Describe your proposed work(s) here. Consider the body of work as a unit in this section, indicating
whether new work or old, part of a series or not,commissioned, proposed, previously exhibited, award-
winning, BFA / MFA graduate work, result of a collaboration, etc.

If you are submitting to a specific show, use this area to explain how your work or proposed work relates
to the theme or nature of the exhibition.

Actual titles, media, dates, etc. should be entered in the Image Descriptions below.


Artist's Statement: (300 words or less -type here or cut and paste)


Artist's Bio: (300 words or less - type here or cut and paste) This is not a resume.


Images to upload (maximum 6):
.jpg format, maximum 800 pixels in either direction
description should include title, dimensions, medium, and year of creation
please include any attribution or credit required (i.e., "courtesy of xyz gallery")

Image No. 1:

Description 1:

Image No. 2:

Description 2:

Image No. 3:

Description 3:

Image No. 4:

Description 4:

Image No. 5:

Description 5:

Image No. 6:

Description 6:

Image No. 7:

Description 7:

Image No. 8:

Description 8: