Exquisite Corpse Art Donation Form MAY 28, 2016.

Exquisite Corpse Art Donation Form
Thank you for donating your original artwork to
our Exquisite Corpse art sale event! All donated
proceeds from the sale of your work will benefit
Maine Media Workshops + College and help us
continue to bring creative minds together
Please be sure to have all elements (art, digital
images, and this form) to MMW+C no later than
MAY 28, 2016.
Send your completed form, digital image, and
mail tracking information by email to:
[email protected]
Mail original art to:
Maine Media Workshops + College
Attn: Event Coordinator
70 Camden St.
Rockport, ME 04856
Artists Names:
2. ______________________________________________________________________________
Email Addresses:
Phone Numbers:
1. _________________________________
2. ________________________________________
2. _________________________________
Mailing Addresses:
2. ______________________________________________________________________________
Title of Work: ________________________________________________________________________
Description (size, media, matted/framed): _________________________________________________
Suggested Price: ____________
One of a Kind (Y/N): ______
Edition of: ________
First print or OOAK piece: 100% of proceeds donated to MMW+C
Additional prints sold at Exquisite Corpse event:
______% of proceeds donated to MMW+C
Additional prints sold after Exquisite Corpse event: ______% of proceeds donated to MMW+C
Artist Statement: Please use the following page
Tell us about how this collaboration came about. What surprising or serendipitous connections did you
discover? Tell us about your creative process and how you worked together to create this piece.
By submitting this form and sending your artwork, you confirm that you created and submitted the artwork for MMW+C’s Exquisite
Corpse art sale fundraiser, held on June 22, 2016, and donated the first print or one-of-a-kind piece to MMW+C to sell. You warrant
that your art is not libelous and is accurate and original; that you are the sole owner(s) and that it does not infringe upon anyone else’s
copyright, trademark, or any other right or interest; and that, in the creation of your artwork, you did not commit trespass, fraud,
invasion of privacy, or violate any other law. It also confirms that you give us permission to use digital images of the art for
promotional purposes related to the Exquisite Corpse event. All artists will be credited whenever images of their work are used.
MMW+C is a 501(c)(3) non-profit institution. Your in-kind donation is tax-deductible under current guidelines.