Showcase Gallery Manual Intake Form - OCFA Showcase Gallery

For gallery use only

Showcase Staff Take In Form (#11)

Name of gallery staff member doing take-in

STEP 1. ARTIST INFORMATION

ALL FIELDS WITH * ARE REQUIRED

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Has an Artist Biography been received?

STEP 2. HOW MANY ARTWORKS ARE YOU ENTERING

Minimum 1 artwork, Maximum 6 artworks. Select from the field below.

STEP 3. ARTWORK INFORMATION

ARTWORK #1

ARTWORK #1 - Title

ARTWORK #1 - Description 400 Characters Max

Size of your artwork in inches H x W x D Submission #1

List the Materials Used - Submission #1

Price

List the Materials Used - Submission #1

ARTWORK #2

ARTWORK #2 - Title

ARTWORK #2 - Description 400 Characters Max

Size of your artwork in inches H x W x D Submission #2

List the Medium Used - Submission #2

Price

ARTWORK #3

ARTWORK #3 - Description 400 Characters Max

ARTWORK #3 - Title

Size of your artwork in inches H x W x D Submission #3

List the Medium Used - Submission #3

Price

ARTWORK #4

ARTWORK #4 - Title

ARTWORK #3 - Description 400 Characters Max

Size of your artwork in inches H x W x D Submission #4

List the Medium Used - Submission #4

Price

ARTWORK #5

ARTWORK #5 - Title

ARTWORK #5 - Description 400 Characters Max

Size of your artwork in inches H x W x D Submission #5

List the Medium Used - Submission #5

Price

ARTWORK #6

ARTWORK #6 - Title

ARTWORK #6 - Description 400 Characters Max

Size of your artwork in inches H x W x D Submission #6

List the Medium Used - Submission #6

Price

STEP 4. PAYMENT

PAYMENT TYPE

CASH

CHECK (must be made out to "Orange County Fine Arts", not OCFA)

CREDIT CARD

No payment items has been selected yet

AMOUNT RECEIVED

CHECK NUMBER

Amount