Exhibitor Name (or group representative) *

The Comsewogue Library will work exclusively with the representative named above on all matters.

Email address *

Address *

Phone # *

Alternate Phone #

Website

Brief Biography (may be used in promotional materials at the Library's discretion): *

Nature of Exhibit (cite media, number of pieces, theme, background of exhibit): *

Month or time of year requested for exhibit (no guarantee of availability and duration):
First Choice

Second Choice

Third Choice

Display Case - 44" wide x 20" deep x 8 1/2" high
I will NOT need the display case.

Reception
I would be interested in hosting a reception.

Please include five jpeg images, with a resolution of 300 dpi or more and a file size no larger than 2 megabytes, of the works or items to be exhibited. The purpose of these images is to see a representative sample of your work. You will get a chance to submit additional images at a later time.

Photo 1:*
Photo 2:*
Photo 3:*
Photo 4:*
Photo 5:*