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2. Name*
3. Email Address*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
15. Eligibility*
    -- Select One --YesNo

    Do you meet the eligibility requirements outlined in the RFQ?
16. Timeline*
    -- Select One --YesNoInstallation Extension Requested

    Are you able to meet all deadlines in the Selection and Implementation Timeline?
20. Cover Letter

    (PDF Only)

21. Resume*

    (PDF Only)

25. Image 1*
26. Image 1 Description*
    Include a description of the submitted work including medium, dimensions, title, date, estimated value or sale. Installation locations appreciated.
28. Image 2*
29. Image 2 Description*
31. Image 3

    Optional

32. Image 3 Description
34. Image 4
    Optional
35. Image 4 Description
37. Image 5
    Optional
38. Image 5 Description
40. Submission*
    -- Select One --I agree

    By submitting a response to the RFQ for this project, the artist commits to the schedule and to dedicating the time for the duration of the artwork and has read and understood the published Commissioned Art Bench RFQ.

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42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field