Artist’s Application

Name*
First Last
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Website (If Applicable)
Your name as you would like it listed for plaque, website, and promotional materials:*
Proposed title of your book exchange (limited to 40 characters, including spaces and punctuation):*
Artist Statement & Design Description
Submit a brief description of yourself and a description of your proposed design.*
Assurances & Terms
By signing this Application, I agree to all of the terms of the attached Call For Artists, and all such terms are hereby incorporated into this Application. I certify that all statements made in this application are true to the best of my knowledge. I acknowledge that the Gwinnett Coalition is not liable for damage or loss of materials submitted.
Signature*
First Last
Date*
Date Format: MM slash DD slash YYYY
Questions? Contact Katie Gill at greatlittleminds@gwinnettcoalition.org or (770) 995-3339, ext. 209

Artist Statement & Design Description