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2. 
4. Name*
5. Email*
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
14. Zip Code
16. All works must be marked for sale at the exhibition

    The proceeds, less the 20% consignment fee, will go to the artist, or one of the following charities: Community Kitchen, PAWS, Salvation Army, Mercy Care Rome, Artist's Choice of Charity.  The 20% consignment fee will go the non-profit, Rome Area History Center. Designation of the proceeds must be selected at time of submission. 

18. Select your designated charity*

    1. Community Kitchen
    2. PAWS
    3. Salvation Army
    4. Mercy Care Rome
    5. Artist's Choice of Charity
    6. (No charity designated) Give Check to Artist
20. If you have designated your own charity, please provide the name of the charity.
24. Submit Angel Artwork Images

    You may submit up to 3 entries. 

    If you are entering a sculpture, you may upload a second photo for each sculpture entry. Do not upload a second photo for 2-dimensional entries (like a painting or drawing). 

26. Entry 1 - Upload Photo of Your Angel Artwork*

     

28. Entry 1 (Photo 2 - for sculpture entries only)

    If you are entering a sculpture, you may upload a second photo of your sculpture. 
    Do not upload a second photo if your piece is 2-dimensional (like a painting or drawing). 

30. Entry 1 - Medium*

    Ex: Oil on canvas

32. Entry 1 - Size*

    Ex: 11" x 14"

34. Entry 1 - Price*

    All pieces are required to be available for sale. 

38. Entry 2 - Upload Photo of Your 2nd Angel Artwork
40. Entry 2 (Photo 2 - for sculpture entries only)

    If you are entering a sculpture, you may upload a second photo of your sculpture. 
    Do not upload a second photo if your piece is 2-dimensional (like a painting or drawing). 

42. Entry 2 - Medium

    Ex: Oil on Canvas

44. Entry 2 - Size

    Ex: 11" x 14"

46. Entry 2 - Price

    All pieces are required to be available for sale.

50. Entry 3 - Upload Photo of Your 3rd Angel Artwork

     

52. Entry 3 (Photo 2 - for sculpture entries only)

    If you are entering a sculpture, you may upload a second photo of your sculpture. 
    Do not upload a second photo if your piece is 2-dimensional (like a painting or drawing). 

54. Entry 3 - Medium

    Ex: Oil on Canvas

56. Entry 3 - Size

    Ex: 11" x 14"

58. Entry 3 - Price

    All pieces are required to be available for sale. 

62. By signing below, I, the entrant of this art exhibition submission(s) affirm that I am the creator of the submitted entries. I agree to allow Georgia's Rome to use the photo(s) I have entered into this contest, in various media formats to promote the show at no cost to Georgia's Rome. I agree to the rules and regulations currently posted on romegeorgia.org/angel and understand that Georgia's Rome can change or edit the rules and regulations at any time.

64. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
66. Electronic Signature
Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit

* indicates a required field