Submit for: General Submission CoCA Collision: 2013 Member Show Ballard Gallery Belltown Gallery Georgetown Gallery Kunstkammer PDX Member No:

If you are submitting for the 2013 Member Show and don't know your member number,
or aren't yet a member, CLICK HERE to visit our membership page before submitting.

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)

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. If you were sending this to us by snail mail, this would be your cover letter.

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.

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 (minimum 2, maximum 8):
.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")

For the 2013 Members Show, you may submit up to four different pieces.
Since you can submit eight images, you might want to use the second image of each piece
to show a detail, installation shot, or other supplemental image, or leave it blank.

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: