Art Competition Form - Print
Office of Congressman Steve Pearce
Congressional Art Competition Form
Name: [required-first] [required-last]
Parents/Guardians: [required-parents]
Street Address: [required-address]
[address2]
City, State Zip Code: [required-city], [required-state] [required-zip]
Telephone #: [required-phone] [speech]
Email: [required-valid-email]
Entry Title: [required-entrytitle]
Education Information
Name of High School: [required-highschool]
Grade: [required-grade]
Art Teacher: [required-teacher]
School Phone: [required-teacherphone]
Medium: [required-medium]
Submitted piece must be mounted or matted—black or white only—and must be no larger than 30 inches by 30 inches to outside trim. Piece may not be framed for competition.
I hereby certify that this entry is my original work and has not been reproduced from any existing artwork. I further certify that it does not otherwise violate copyright law.
Artist's Signature: ___________________________________
Date:_______________________________________
Guardian's Signature: ___________________________________
Date:_______________________________________
Print, and then mail or fax your request to Congressman Steve Pearce at the following address.
Please mail your form to:
Office of Congressman Steve Pearce
Attn: Congressional Art Competition
1717 W 2nd Street,
Suite 100
Roswell, NM 88201
Phone: 1-855-4-PEARCE, or 1-855-473-2723