Page 1 of 1
University Health Lakewood Healing Arts Gallery Interest Form
Please direct questions to Sharon Wagner at SWagner@summitart.org.
First Name
*
Last Name
*
Email
*
Mobile Phone
*
Website (in applicable)
Display Medium (Must be 2D and appropriate for hanging in a public setting. Maximum hight: 36in. Maximum Width 36in.)
*
Upload image of artwork to display. This will be used for online sales page. Please show image in frame if applicable.
*
Click to choose a file or drag here
Size limit: 10 MB
Artwork Title. Must match your label.
*
Artwork Medium
*
Artwork Dimensions (including frame if applicable).
*
Sale Price. Summit Art retains 30% of the sale price.
*
Artist Bio and/or Artist Statement
Submit