Date MM DD YYYY Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Website or Social Media http:// Website or Social Media http:// Website or Social Media http:// What is your main medium? * Have you visited the Brandon Artists Guild Gallery? * Yes Not yet Are you currently in other galleries? * If so, please list them. Brandon Artists Guild is a member-run cooperative non-for-profit. Are you interested in being part of the community? * Please answer yes or no, and comment if you wish. Brief artist statement. Please include a description of your inspiration, process, and retail price range. * Thank you! Someone from our Jury Committee will be in touch with you soon!
