Birth name

First Name

Last Name

Artist Name

Instagram handle

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

Name of Piece 1

Suggested Retail price of Piece 1

40/60 split, artist favor

$

Wholesale price of Piece 1

$

Name of piece 2

Suggested Retail price of Piece 2

$

Wholesale price of Piece 2

$

Name of Piece 3

Suggested retail price of Piece 3

$

Wholesale price of Piece 3

$

Notes

Attending?

ART INTAKE FORM --

ART INTAKE FORM --

SHIP ART TO ZIGGYS MIAMI
2747 SW 27th Ave, Miami, FL 33133

Submission deadline is Nov.16. If you need extra time contact @dangervisual. We’ll pay up to $50 return shipping. Return shipping will commence 1 month after the show. If you’d like to submit more than 3 pieces contact @dangervisual on IG or at design@dangervisual.com