Entry Form: 21st Annual Juried Student Exhibition Entry Date & Time: Wednesday, November 4th 9:00 am to 2:00 pm Location: The Gallery of Visual Arts, Social Sciences 107 Please print legibly. FILL OUT TWO FORMS PER ENTRY. Give this form to attendant. Name: ______________________________________________ Student ID#: ________________________ Address, City, State, Zip: __________________________________________________________________ Phone: ____________________________ E-Mail: _______________________________________________ Check One: Graduate ____ Undergraduate ____ Label Information: Title: ____________________________________________________________________________________ Media: ____________________________________________________ Year Entry Created: ___________ Write installation preference on back of form or attach photo or diagram to piece. Asking Price/Value*: __________________ Is Work For Sale? YES____ NO ____ * For insurance purposes artists must list a reasonable value/price for each submission even if the work is not for sale. The Gallery of Visual Arts retains a 25% sales commission of all sold work. Please consider this when pricing works. ---------------------------------------------------------------------------------------------- Entry Form: 21st Annual Juried Student Exhibition Entry Date & Time: Wednesday, November 4th 9:00 am to 2:00 pm Location: The Gallery of Visual Arts, Social Sciences 107 Please print legibly. FILL OUT TWO FORMS PER ENTRY. Attach this form to back of entry. Name: ______________________________________________ Student ID#: ________________________ Address, City, State, Zip: __________________________________________________________________ Phone: ____________________________ E-Mail: _______________________________________________ Check One: Graduate ____ Undergraduate ____ Label Information: Title: ____________________________________________________________________________________ Media: ____________________________________________________ Year Entry Created: ___________ Write installation preference on back of form or attach photo or diagram to piece. Asking Price/Value*: __________________ Is Work For Sale? YES____ NO ____ * For insurance purposes artists must list a reasonable value/price for each submission even if the work is not for sale. The Gallery of Visual Arts retains a 25% sales commission of all sold work. Please consider this when pricing works.