Caetani Spruzzo Submission Form

You have been invited to submit artwork to the inaugural Caetani Spruzzo Fundraiser for the Arts. Please fill out the submission form below.

We ask that you submit an artwork with a fair market value
of approximately $250.00 and of a dimension of no larger than 20” x 20” for 2D artwork
or ____ for 3D artwork.

We sincerely Thank You for the donation of your Time,
Talent, & Love for arts & community!

Date

YYYY

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Website

http://

Phone

(###)

###

####

Title of Artwork

Medium

Dimension of Artwork

Length x height in inches for 2D; length x width x height for 3D. We request 2D works no larger than 20"x 20" and 3D works no larger than ___.

Fair Market Value of Artwork

For Spruzzo, we ask that you choose a work for which the FMV is approximately $250.

Artist Bio

Please limit to 150 words or less. Longer bios may be edited for brevity.

Artist Statement

Please limit to 250 words or less. Longer statements may be edited for brevity.

Term of Donation/s

Please check all that apply.

I consent to having images of my donation used for marketing and promotional purposes. All images will be credited with the artist's name.

I consent to having my contact information passed on to the purchaser of my piece.

I would like to receive a tax receipt for my piece.

Questions or Comments