The Artist's Place Online Gallery Sign up Form

Send this form to Shirley Erlandsen, 6009 E. Moreland Drive, Spokane Valley, WA 99212

If this form will not work for your items, please feel free to make your own and send it in with your pictures….

Name___________________________________________ Medium_______________________

Address_________________________________________ Phone_________________________

City_________________________________ State_____________ Zip_____________________

Email address_________________________ Web site address____________________________

Select Plan: Please circle the plan you select ..... Three month, $60.00 Six month, $90.00 Twelve month, $120.00
You can send payment or call Shirley with Credit Card info  click here

Your own home page info

Include: On-line artist's statement - telling about you and your work
Other info you want on your page
Title (for 1st image)________________________________________________________________

Description (Size, etc.)______________________________________________

Framed Size (if applicable)___________ Price____________ Unframed Size (if applicable)_________ Price__________

Print Size (if applicable)_____________ Price____________ Print Size (if applicable)_____________ Price__________

Card (if applicable)_________________ Price____________

Title (for 2nd image)_______________________________________________________________

Description (Size, etc.)______________________________________________

Framed Size (if applicable)___________ Price____________ Unframed Size (if applicable)_________ Price__________

Print Size (if applicable)_____________ Price____________ Print Size (if applicable)_____________ Price__________

Card (if applicable)_________________ Price___________

Title (for 3rd image)_______________________________________________________________

Description (Size, etc.)______________________________________________

Framed Size (if applicable)___________ Price____________ Unframed Size (if applicable)_________ Price__________

Print Size (if applicable)_____________ Price____________ Print Size (if applicable)_____________ Price__________

Card (if applicable)_________________ Price____________

Title (for 4th image)_______________________________________________________________

Description (Size, etc.)______________________________________________

Framed Size (if applicable)___________ Price____________ Unframed Size (if applicable)_________ Price__________

Print Size (if applicable)_____________ Price____________ Print Size (if applicable)_____________ Price__________

Card (if applicable)_________________ Price____________

Title (for 5th image)_______________________________________________________________

Description (Size, etc.)______________________________________________

Framed Size (if applicable)___________ Price____________ Unframed Size (if applicable)_________ Price__________

Print Size (if applicable)_____________ Price____________ Print Size (if applicable)_____________ Price__________

Card (if applicable)_________________ Price____________

Title (for 6th image)_______________________________________________________________

Description (Size, etc.)______________________________________________

Framed Size (if applicable)___________ Price____________ Unframed Size (if applicable)_________ Price__________

Print Size (if applicable)_____________ Price____________ Print Size (if applicable)_____________ Price__________

Card (if applicable)_________________ Price____________