Name *

First Name

Last Name

Phone

(###)

###

####

Best Way to Contact Me *

Phone/Text

Email

Will Your artwork be available for purchase? *

Yes

No

Will you need assistance with the $25 Membership fee? *

Yes

No

Do you plan on attending the Reception in Wahpeton? *

Yes

No

I understand that if I sell my work a 30% fee goes to support the Red Door Gallery *

Yes