Three Solo Exhibitions | Print & Picture Hallway Gallery | Parkway Central Library | The Free Library of Philadelphia

Name: ___________________________________________

Address:___________________________________________

Email address: ______________________________________

Phone: ________________________


List works being submitted:


Title of Work #1: ________________________________

Medium, edition, date: ____________________________


Title of Work #2: __________________________________

Medium, edition, date: _______________________________

Title of Work #3: __________________________________

Medium, edition, date: ____________________________


Title of Work #4: __________________________________

Medium, edition, date: ____________________________


Title of Work #5: __________________________________

Medium, edition, date: ____________________________


• Please return this form with your submissions by March 1, 2012.
• Payment of $25 or $10 (if you are already a Friend of the Print & Picture Collection
• Please mail all materials; .jpeg files and submission form to:

Aurora Deshauteurs. Curator
Print & Picture Collection
Free Library of Philadelphia
1901 Vine Street
Philadelphia, PA 19103-1189

• Membership to the Friends of the Print & Picture Collection must be obtained or already exist with the submission of this application.

Please contact us, if you have any questions, 215.686.5405 or deshauteursa@freelibrary.org.