Buffalo National River
Artist-In-Residence Entry Form

Name:

Street Address:

City, State, ZIP:

Day Phone:                        Night Phone:

Medium:

Sample Materials Enclosed:
CD________
DVD_______
Manuscript__________

Please postmark entry forms and materials by January 31st.

Checklist:
Resume___
Artist Statement_____
Preferred Dates______
Self-addressed Stamped Envelope with postage for return of materials____
Entry Form______