- SUBMISSION FORM - Please fill out this form and submit TWO (2) copies Note: Entry fee

$30.00 GST incl. and artist bio/statement/CV due at time of submission (see Terms and Conditions)

Artist Information
Name: ____________________________________ Email: __________________________________ Address: __________________________________________________________________________ Phone: __________________________ GST #____________________________________________

Artwork Submitted 1. Title _____________________ Medium_____________ Size(in.) __________Price_______ 2. Title _____________________ Medium_____________ Size(in.) __________Price_______
Terms and conditions: A $30.00 GST incl. entry fee is due at submission. Make cheques payable to Ruberto Ostberg Gallery. TWO (2) copies of the submission form (completed and signed) A biography, artist statement (relating to the work submitted) and short CV listing recent exhibitions (1 page max) is due at time of submission. th Submissions will be received at the gallery June 10 2PM 7PM. No submissions will be accepted outside of this time period. Work must be clearly labeled and exhibition ready. Works will be selected for the show by a jury panel. th Artists will be contacted ONLY if their work is NOT selected. Unselected artwork must be picked up on June 12 7PM th 8PM or June 13 10AM 12PM. Proceeds from sales will be released to the artist after all payments have cleared and all administrative work is complete, approximently 30 days from completion of the show. GST will be charged on all artwork where the artist is a GST registrant. GST will be charged on all commission.

I have read and agree to all of the above terms and conditions : Further I acknowledge that the Gallery Commission rate is 50%. Name (Print)_______________________________ Signature_________________________________ Anna Ostberg per Ruberto Ostberg Gallery Signature__________________________________________
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Date___________________________

RECEIPT for your records Paid to Ruberto Ostberg Gallery for art submissions to the June juried show the amount of $30.00 GST incl. Received from _________________________