NAME:

ADDRESS:

CITY:

STATE:

  ZIP:

PHONE:

Fax:

E-MAIL:

WEBSITE:

ART FORM:

DESCRIPTION / BACKGROUND
Provide a few sentences about your expertise and art form. Also provide background information and a few accomplishments. Please be brief.

AVAILABILITY
Provide days and hours you are available. Please indicate so if you are available for volunteer assignment.

RATE / COST
Please indicate the charges for your services or price range of your work.

REFERENCES
Provide full name, city, state and phone number of your references

1.

2.

3.

ADDITIONAL INFORMATION
Provide additional information if desired. You may submit sample(s) of your work on one sheet of 8 1/2 X 11 paper. Send completed form and work sample(s) to Artists In Partnership at 215 West Chester Street, Long Beach, New York 11561