10X10 Drop off

Name *

First Name Last Name

Email *

example@example.com

Panel 1, Title *

Panel 1, Medium *

Oil Acrylic Collage Mixed Media Encaustic Photography see below

Panel 1, If medium is not listed above, please specify

Panel 2, Title

Panel 2, Medium

Oil Acrylic Collage Mixed Media Encaustic Photography see below

Panel 2, If medium is not listed above, please specify

Please write your name and the title on the back of each panel. If you normally sign the front of your work, please do so, or sign the back in addition to your clearly written name and title.

Drop off is : 11-3pm Wednesday, July 6 and/or Thursday, July 7
The fundraising event- exhibition closing party is: Friday, August 12, 5-8PM
The exhibition runs from Saturday, July 9-Friday, August, 12

Many thanks!

Sam and the AVA Crew!

10X10=AVA | Drop-off Form