Artist Application for Gallery Crawl 2017

2. First Name

3. Last Name

5. Business Name

7. Address1

9. Address2

11. City

12. State

13. Zip

15. Daytime Phone:

17. Evening Phone:

19. Cell Phone:

21. Email:

23. Artist's Medium

25. Based on medium and available space, you will be paired with a participating gallery or business. You will then be contacted by email stating where you will be located and the contact information for the business. Artistis are responsible for contacting the business directly and discussing their set-up and arrangement for the evening of the Gallery Crawl.

27. Please also sumbit 3-5 photos of your works, 1 photo of your booth and your bio.

29. Photo #1

30. Photo #2

31. Photo #3

32. Photo #4

34. Upload bio here

36. Type bio here if not uploading

38. For more information, please contact Tina Gibson, Event Coordinator, Imagine Music Group at 704-596-0342 or tgibson@imaginemusicgroup.com.

Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

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