Inspiration Ahead! - The Creative Resources of Southern Illinois Artist Registration Form

First Name
Last Name
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Street Address 1
Street Address 2
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Are you interested in receiving information on grant opportunities?	yes no
Are you interested in receiving information on teaching artist opportunities?	yes no
Are you interested in receiving information on exhibiting opportunities?	yes no
Primary Media
Upload up to 3 examples of your work: #1
#2
#3
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