GALLERY: FUNCTIONART

PRISM Contemporary Glass

    1046 W. Fulton Market
    Chicago, IL 60607

Contacts: D. Scott Patria
T: (312) 243.2780 / F: (312) 243.2780
E: prism@finecraftnetwork.com 


 
ENTRY FORM


Name:

Address:

City:State: Zip:

Phone: Fax:

Email:

Website:

For which Vendor are you applying? :
(please use separate sheet for each submission)


 Submission - 1


Image #: File Name (if electronic):

Title:

Materials:

Dimensions: Completion Date:

Price:
(use "R" for Retail, "W" for consigned/wholesale)

 

 Submission - 2


Image #: File Name (if electronic):

Title:

Materials:

Dimensions: Completion Date:

Price:
(use "R" for Retail, "W" for consigned/wholesale)

 

 Submission - 3


Image #: File Name (if electronic):

Title:

Materials:

Dimensions: Completion Date:

Price:
(use "R" for Retail, "W" for consigned/wholesale)

Please fill out form & enclose:
images of up to threeworks (jpegs, slides, prints or transparencies),
Resume and Artistic Statement, and SASE

Send to :

D. Scott Patria,
Gallery: PRISM Contemporary Glass,
1046 W. Fulton Market
Chicago, IL 60607
T: (312) 243.2780 / F: (312) 243.2780

or send same information via email to: Prism@finecraftnetwork.com