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 APPLICATION FORM
Name_____________________________________________________________________ Address____________________________________________________________________ City____________________________State______________________________Zip_______ Daytime Phone_____________________Email_____________________________________ 
IMAGE IDENTIFICATION LIST
1. ___________________________________________________________________________ Title Materials Dimensions Year Budget/Price2. ___________________________________________________________________________ Title Materials Dimensions Year Budget/Price3. ___________________________________________________________________________ Title Materials Dimensions Year Budget/Price4. ___________________________________________________________________________ Title Materials Dimensions Year Budget/Price5. ___________________________________________________________________________ Title Materials Dimensions Year Budget/Price
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 PROPOSAL IDENTIFICATION LIST
You may submit separate proposals for ANY or ALL of the four designated spaces. Thetemplates for each site are attached below. For more information about the libraries pleasevisitwww.dclibrary.org
 
#1 THE CHILDREN’S ROOM MURAL at BENNING LIBRARY
TITLE of WORK__________________________________________________ Description (include original medium): ___________________________________________________________________________  ___________________________________________________________________________  ___________________________________________________________________________ 
#2 THE ADULT AREA MURAL at BENNING LIBRARY
TITLE of WORK__________________________________________________ Description (include original medium): ___________________________________________________________________________  ___________________________________________________________________________  ___________________________________________________________________________ 
#3 THE TRANSPARENT WALL at ANACOSTIA LIBRARY
TITLE of WORK__________________________________________________ Description (include original medium): ___________________________________________________________________________  ___________________________________________________________________________  ___________________________________________________________________________ 
#4 THE ADULT AREA MURAL at ANACOSTIA LIBRARY
TITLE of WORK__________________________________________________ Description (include original medium): ___________________________________________________________________________  ___________________________________________________________________________  ___________________________________________________________________________ 
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BENNING LIBRARY: THE CHILDREN’S MURAL and THE ADULT AREA MURAL
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