EmailMe Form - Gallery Show proposal

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

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

Alternate Phone

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

Email

Please indicate which gallery show option you are interested in hosting.

Option One - No Opening Night Reception

Option Two - Opening Night Reception

Please provide a brief bio of yourself and your work.

Please provide an example of your work.

(pdf, jpeg, jpg, and png files accepted max size 1MB)

Please provide a second example of your work.

(pdf, jpeg, jpg, and png files accepted max size 1MB)

By submitting this show proposal, you are acknowledging and agreeing to the following:

You understand that, Haldimand Art Works does not guarantee that all proposal submitted will result in a show.

You verify that all information provided on this form is true and accurate.

I agree