Leonard E. Shore Memorial Library

P.O. Box 580, 183 Bruce St. S.
Thornbury, ON  N0H 2P0
Phone (519) 599-3681        Fax (519) 599-7951

info@thebluemountainslibrary.ca

 

Exhibit Application

 

Name of Exhibit ___________________________________________________

Contact Person _______________________      Phone                                                           

Contact Address __________________________________________________ __________

 

Preferred Date:  From ______________   To                                         

Description of Exhibition (attach separate page if needed):

______________________________________________________ ____________________

______________________________________________________ ____________________

__________________________________________________________________________

PLEASE SUBMIT RESUME, ARTIST’S STATEMENT AND AT LEAST 6 PHOTOGRAPHS OF YOUR CURRENT WORK, WITH PERTINENT INFORMATION.   (Attach separate page if more than one artist)

          Title                              Medium                                   Size                           Price(approx.)

  1. ______________________________________________________________________
  2. ______________________________________________________________________
  3. ______________________________________________________________________
  4. ______________________________________________________________________
  5. ______________________________________________________________________
  6. ______________________________________________________________________

Please check box if work is to be included in the show.  It is understood that these prices reflect the price range for the show, and that the library reserves the right to view the actual work.

Signature of Applicant:  _________________________ Date:_____________________

Please print name: _____________________________

Return to: Gallery Committee Chair, c/o L.E. Shore Memorial Library at above address