Artist's name

Address

Phone number

Email

Size

Artifact(s) used for inspiration:

Will you need any special display accoutrements?

Item title:

Desciption:

Estimated Value: (optional)

Would you like to donate ALL proceeds raised from your piece to the Museum? This includes the amount set as your starting bid.

Please drop off your piece at the Museam by September 6th. Perishable submissions can be dropped off on September 20th.