Jewel Box Gallery

Rental Application

    Business Name*:

    Contact Name*:

    Phone*:

    Email*:

    Mailing Address*:

    City*:

    State*:

    Zip Code*:

    Medium You Wish to Display*:
    Check all that apply.
    PaintingsDrawingMixed-mediaCeramicsJewelryFiber ArtsOther

    If other, please explain:

    Is your work currently exhibited elsewhere?* YesNo

    If yes, please explain:

    What is the average price range of your work that will be for sale?*

    Preferred Months of Residency*:
    Preference does not guarantee availability. Check all that apply.
    JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

    Anticipated Hours of Operation*:

    Special Requirements:

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    For questions, please email our Director of Operations.

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