EmailMe Form - Visual Art Submission Form

Name *

First Last

Address *

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

Phone *

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

Email *

Web Site

Please complete the following:

How did you hear about EstroGenius?

What made you want to submit your artwork?

Have you participated in anEstroGenius Visual Art exhibition before?

Yes

No

If yes, please tell us about your experience:

Submit Your Artist Bio, Artist Statement, Artist CV, Image List and images below

Please upload your Artist Bio & Artist Statement (.doc, .docx, or .pdf only). *

Document file names should follow this configuration:
first name_last name_document name

Please upload your Artist CV (.doc, .docx. or .pdf only). [Optional]

Document file names should follow this configuration:
first name_last name_document name

Please upload Image List (.doc, .docx. or .pdf only). *

Document file names should follow this configuration:
first name_last name_document name

For each work, please supply:
Name of piece
Media of piece
Dimensions of piece
Price of piece

Submit Up to 3 Images for Consideration

Please upload your first image here (.jpg only; <2MB) *

Image file names should follow this configuration:
first name_last name_image number

Please upload your second image here (.jpg only; <2MB)

Image file names should follow this configuration:
first name_last name_image number

Please upload your third image here (.jpg only; <2MB)

Image file names should follow this configuration:
first name_last name_image number

Do you want your work considered for the online exhibition?

Yes

No