Golden Ticket 2023 – Form – Clifton Cultural Arts Center

2023 Golden Ticket

"*" indicates required fields

Artist Name*

First Last

Address*

Street Address City State Zip Code

Phone*

Email*

How many pieces would you like to submit?*

Select an option to upload artwork images.

One ($35.00)

Two ($45.00)

Three ($55.00)

Four ($65.00)

Five ($75.00)

Submission #1

Title*

Media*

Size*

Price, if for sale.

JPG Image*

Each jpeg must be labeled as follows: artist’s first name initial, last name initial, underscore, and the title of work, ie HB_The Lonely Tree.jpeg

Max. file size: 50 MB.

Submission #2

Title*

Media*

Size*

Price, if for sale.

JPG Image*

Each jpeg must be labeled as follows: artist’s first name initial, last name initial, underscore, and the title of work, ie HB_The Lonely Tree.jpeg

Max. file size: 50 MB.

Submission #3

Title*

Media*

Size*

Price, if for sale.

JPG image*

Each jpeg must be labeled as follows: artist’s first name initial, last name initial, underscore, and the title of work, ie HB_The Lonely Tree.jpeg

Max. file size: 50 MB.

Submission #4

Title*

Media*

Size*

Price, if for sale.

JPG image*

Each jpeg must be labeled as follows: artist’s first name initial, last name initial, underscore, and the title of work, ie HB_The Lonely Tree.jpeg

Max. file size: 50 MB.

Submission #5

Title*

Media*

Size*

Price, if for sale.

JPG image*

Each jpeg must be labeled as follows: artist’s first name initial, last name initial, underscore, and the title of work, ie HB_The Lonely Tree.jpeg

Max. file size: 50 MB.

Cost

Total

Credit Card

Card Details

Cardholder Name

2023 Golden Ticket

Submission #1

Submission #2

Submission #3

Submission #4

Submission #5

Cost

Title

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