WVAAA Nomination Form

WVAAA Nomination Form
I would like to nominate:*
If artist is still living, please list their contact info:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Wisconsin connection:*
Brief biography:*

0/750
Please upload images of artwork if applicable.
Image 1

Upload a File

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Title, medium and date of work
Image 2

Upload a File

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Title, medium and date of work
Image 3

Upload a File

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Title, medium and date of work
Image 4

Upload a File

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Title, medium and date of work
Nominator*

First NameLast Name
Nominator's email*
Should be Empty: