Name *

First Name

Last Name

Phone Number *

(###)

###

####

Is your artwork ready to be mounted? *

Yes (framed)

Yes (unframed board)

Yes (mounted canvas)

Yes (other-please clarify in comments below)

No

Will you be able to attend the opening reception on Saturday, April 26th at UNZINE 95? *

Yes

No

Unsure

How did you hear about this event?

I am a regular participant of bkk UNZINE events

Instagram

Facebook

Meetup

bkk UNZINE website

other online platform

bkk UNZINE event

UNZINE 95 event

other in-person event

word of mouth

other

Declaration of Original Work *

I confirm that the work contained in this submission is original artwork authored by myself and identified collaborators and does not contain in whole or in part any work from other authors without permission.

Usage Permission *

By sending this submission, I authorize bkk UNZINE the right to display the artwork for exhibition, to publish the submitted work as part of the bkk UNZINE art magazine and website, as well as to use in promotional materials and displays. I understand that the copyright for the work remains with the author(s).