Survivors of Violence Art Showcase Submission

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If you wish to submit your artwork for display or donation at Safe Harbor Crisis Center's 4th Annual Survivors of Violence Art Showcase please complete the following form.

What is your name(First & Last)? *

What is a good email address for you? *

What is a good contact phone number for you? *

Is it safe for us to: *

Call the phone number provided

Leave a voicemail at the number provided

Text the phone number provided

Required

Would you like to list your art piece for sale, donate the proceeds to Safe Harbor, and/or donate your artwork to Safe Harbor? *

I would like to list my art piece for sale

I would like to donate the proceeds of the sale of my art piece to Safe Harbor

I would like to donate my art piece to Safe Harbor

I would not like to list my art piece for sale

I do not wish to donate my art piece to Safe Harbor

Required

If you would like to list your art piece for sale, please list the fair market value of your piece.

Would you like your name to be shown with your art piece? *

Yes

Other:

Please write a description of your piece that can be displayed next to your artwork. *

Do you want your artwork returned to you after the art show if it does not sell or if you have not listed it for sale? *

Yes

I understand that if I do not pick up my artwork prior to 6:00 pm on May 6th, 2022 that it is not Safe Harbor's responsibility to continue to store my artwork. *

I understand

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