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Mosaic Form

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Address*
Do you plan to use 171's provided wooden panels?*
Describe your theme in this space.
This information may be used for promotional purposes. Please be aware of spelling, grammar, and readability. (250 word limit, please)
If you are represented by regional galleries, please list them here.
Work Sample #1 Upload and describe your artwork. This image may be used for promotional purposes.
Max. file size: 2 GB.
Max. file size: 2 GB.
Include title, date created, and any other information to help explain your style or techniques.
Work Sample #2 Upload and describe your artwork.
Max. file size: 2 GB.
Max. file size: 2 GB.
Include title, date created, and any other information to help explain your style or techniques.
Work Sample #3 Upload and describe your artwork.
Max. file size: 2 GB.
Max. file size: 2 GB.
Include title, date created, and any other information to help explain your style or techniques.
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