EmailMe Form - FABULOUS FORGERIES Entry Form

Artist's Name *

First Last

Address *

Street Address City State / Province / Region Postal / Zip Code

Home Phone

### - ### - ####

Cell Phone

### - ### - ####

Email *

Membership Status *

BRAC Member

Not a Member (+$5 non-member fee)

Become a Member (+$30 membership)

Entry 1

Title of Artwork *

Medium *

Title of Original Artwork that You "Copied" or were Inspired by *

Name of Artist of the Original Work *

Please include a short blurb about how the original piece inspired your work. *

For Sale? *

For Sale

Not for Sale

Price / Insurance Value *

$ Dollars

Entry 1 - Image Upload (optional)

Upload high resolution image (.JPGs preferred)
Maximum file size: 3MB
Ensure file is the proper orientation for viewing

Entry 2

Title of Artwork

Medium

Title of Original Artwork the You "Copied"

Name of Artist of the Original Work

Please include a short blurb about how the original piece inspired your work.

For Sale?

For Sale

Not for Sale

Price / Insurance Value

$ Dollars

Entry 2 - Image Upload (optional)

Upload high resolution image (.JPGs preferred)
Maximum file size: 3MB
Ensure file is the proper orientation for viewing

Please only click "Submit Entry" once. It may take a couple minutes to process your submission. After processing you'll be redirected to a payment page. Your submission will not be complete until your payment has been received.