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C o n f i d e n t i a l i t y   s t a t e m e n t
Art Submission Form:
Your first & last name:
Your location:
(City, State)
Type of art:
Materials used to create your art:
Your brief biography:
If you want to sell your art, what is the cost?
Your email address:
(name@provider.com)
Please re-type your
email address:
Brief description
of your art:
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Creative inspiration to calm then awaken your senses!
Do you want to exhibit your
art on Stimuli Art?

If so, complete the form shown on
the right.