Artist Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Website/s where your work is featured (if applicable) http:// Other galleries/locations where you are represented: Please select your primary medium below: * Jewelry Photography Fine Arts Fiber/Textiles Paper Wood Glass Basketry Pottery Mixed Media Metal Sculpture Other (please enter a description in the message field below) Message: * Tell me about yourself so I know you’re a real person Thank you for your interest in Raven's Wish Art Gallery! A review committee meets monthly to evaluate prospective work, and someone will follow up with you.