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Artist Interest Form

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Personal Information
First Name
Last Name
Address1
Address2
City
State
Zip
Phone Number
Alternate Phone
E-Mail Address
NC Sales & Use Tax Number
Tell us about your work...
Short Biography or Artist Statement
Exhibit Space (check all that apply)
1. Grand Lobby and Main Hall (two dimensional)
2. Display Cases (three dimensional)
Are you interested in an art reception?
1. Yes
2. No
Media
Attach examples of your art work below
Example 1
Example 2
Example 3