Name* First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Website AddressFacebookTwitterInstagramHave you donated to Wine+Art before?*How did you hear about Wine+Art?* KPCC LA Magazine CASA/LA Stakeholder CASA/LA Newsletter CASA/LA Twitter CASA/LA Instagram CASA/LA Facebook Other If other, please describeProceeds from art to be allocated as follows:* Select All 100% donation to CASA/LA (includes 2 complimentary tickets to the event) 60% CASA/40% ARTIST Split* (includes 1 complimentary ticket to the event) CASA Youth only 50/50 Split *Art that is not donated by the original artist will be at 100% donation. Original artists have the option to select 100% donation or 60/40 split.Detailed Description of Submission(s) for Public Viewing*If multiple pieces have been submitted: please provide a description for each piece; and if more than one proceed option was selected above, please specify and note accordingly. Style*Examples: abstract, symbolism, contemporary, fine art, realism, etc.Medium*Dimensions*Please separate multiple entries with a comma and in the same order as aboveRetail Value*Please separate multiple entries with a comma and in the same order as above.Donors/Artists will be listed in various CASA publications. What name should be listed?*Artist BioPlease upload images of the pieces you would like us to consider. If opting for the 60% CASA/40% ARTIST split, please submit 2 images of each piece from different perspectives. All submissions will be reviewed by the auction curating committee. You will be notified within 15 business days of submission.* Drop files here or *All donated art will be offered in a silent auction culminating on November 2, 2019. CASA/LA sets opening bids at our discretion based on an industry standard percentage of the donor’s declared retail value of the piece. No reserves accepted. No guarantee on final sale price. CASA/LA will notify you within 15 business days of submission if your art will be presented in the auction. All Donors will be listed in promotional material (printed, digital and social media) and Artists are asked to cross-promote the event to their supporters. Please note that upon approval, artwork should be clearly labeled, safely wrapped and delivered to CASA/LA offices no later than October 1, 2019. If work is unsold it must be collected by the artist within 30 days after the event. Thank you for your kind collaboration and understanding.Signature*
