APPLICATION & NOMINATION FORM by r5ryMgN

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									                     APPLICATION & NOMINATION FORM
                TO EXHIBIT WORK AT THE LYNCHBURG ART CLUB
              Please submit to the Lynchburg Art Club, Exhibition Selection Committee,
                      1011 Rivermont Ave., Lynchburg, VA 24504 (434-528-9434)

NAME__________________________________________________ DATE __________________

ADDRESS_________________________________________________________________________

PHONE_____________________________ EMAIL__________________________________

MEMBER OF THE LYNCHBURG ART CLUB? _____Yes _____No
Members may exhibit without additional costs and will be charged our standard 25% commission.
Non-members will be charged $150 to cover exhibition costs plus a 35% commission to the Lynchburg
Art Club on all sales made during the exhibit and within 30 days after closing.

WORK SUBMITTED: (check submitted category)
____Painting ____Sculpture ___Photography ____Other: ___________________________
Medium: ______________________

WORK PRESENTED BY: ____Slides ____Photographs ____Actual Work ____CD
(Please submit at least 6 to 10 examples of your work to the selection committee)

DO YOU HAVE A WEBSITE? ____Yes ____ No WEBSITE:___________________________

ARE YOU WILLING TO HAVE YOUR WORK SHOWN IN CONJUNCTION WITH ANOTHER
ARTIST?     ____Yes ____No
Your work will be considered by the exhibition selection committee and you will be notified by mail
as to whether or not your work has been accepted for an exhibit during the following year (September
- June).

If your work is not accepted for this year, you may reapply for the following exhibition year.

                           Thank you for applying by April 15
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If nominating an artist for an exhibition, complete and sign below:

I have discussed this nomination with (name of artist) _____________________
Note : The nominator should send an application to the nominated artist to complete and return to
the selection committee by April 15.

Signature __________________________________________

								
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