Gallery Exhibitor's Contributor's Form

Please cut and paste into Word, or another printable form and include with your shipped photograph, return postage, and shipping label.

.......................................................................................................

Your Last Name _________

Address: ____________________________________________________________

E-Mail: _________________________________

Name (as you wish it to appear on the exhibition label:__________________________

Title of work (as you wish it to appear on an exhibition label): ___________________________

Price (including VPW 40% commission): ____________________

(If you leave this blank, we will assume your photograph is not for sale.)

PLEASE CHECK ONE: (Photographs without return shipping or in-person pick-up will not be returned)

__________ I have included pre-paid return shipping and a shipping address label with my photograph (note: we cannot accept credit card numbers for return shipping).

__________ Instead of including return shipping, I have chosen to donate my photograph to PhotoPlace Gallery's fund-raising photo sales or further donation.

__________ I am hand-delivering my photograph and will pick it up in person. I understand that photographs not picked up within two weeks of the close of the exhibition will become property of PhotoPlace Gallery.

__________ I have used PhotoPlace print service and I have forwarded the contributor's form via e-mail.

______I have paid for return shipping, and my photo will be sent to me after the exhibition.

                 ______I have not paid for return shipping and would like my photograph ____ donated   ___ destroyed (check one) after the exhibition.

I understand that although every effort will be made to protect my work PhotoPlace Gallery / VPW is not responsible for any damage that may occur to my work while in shipping, in preparation for exhibition, or while on exhibition.


Signature: ______________________________