117th Art Exhibition

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

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Category *

Professional Artists Include: Artists who make a living by commissions and sales of their own original artwork; Artists who have had their original artwork accepted in two (2) or more juried exhibitions such as the Des Moines Art Festival, Exhibit at Heritage Gallery, or the Iowa State Fair; Artists teaching classes in studio art or employed in any arts related fields. Nonprofessional Artists Include: Artists who do not qualify under the above.

Professional

Nonprofessional

For sale *

Works sold during the exhibit will be assessed a fee of 25% of the purchase price by the Des Moines Women’s Club.

Yes

No

Phone Number of Person Picking Up Your Artwork *

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I certify the information I provided on and in connection with this form is true and correct to the best of my knowledge. I also understand that any false statements will invalidate my submission. *

True

Date *

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