I _____________________ (your name here) hereby consent to the following:

I understand that this is only a submission.
I understand that this is not a guarantee that my artwork shall be included in the show.

I would like to:
(Check one)
A) Submit my artwork to as a donation to Bomit (not returned to me).
B) Submit my artwork for sale and set the price for starting bids at $___.00
C) Submit my artwork for the show only but have it shipped back to me at this address:

______________________ (Street)
_______________________ (City)
______________________ (State)
________________ (Postal Code)
___________________ (Country)
____________________ (E-mail)

*By checking option “C”, I hereby agree that I will pay for the return shipping & handling fees.
*By checking option “B”, I hereby agree that Bomit can set a higher price and keep the difference.

Send submissions to:

ALIAS GALLERY
1043 Virginia Ave, Ste 4
Indianapolis IN 46203
Tel#: 317.352.0668

Guidelines / Suggestions:

• Red or Blue Bandanas will be less likely to show.
• Use any method you like – screen print, paint pens, stencils, stitching, etc.
• We are trying to keep a uniform look so keep it simple – no giant murals, collages, etc.
• We want this show to be very accessible to all so we suggest a value of $20 per piece.
• Include promo materials (especially stickers, t-shirts, etc.) for free distribution.
• Ship with tracking or at least send an email to make sure we got your package.
*** YOU MUST PRINT THIS FORM AND INCLUDE IT WITH ANY SUBMISSIONS ***