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

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
Wisconsin connection: *
Brief biography: *

0/750
Please upload images of artwork if applicable.
Image 1
Title, medium and date of work
Image 2
Title, medium and date of work
Image 3
Title, medium and date of work
Image 4
Title, medium and date of work
Nominator *

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