Last Name  

First Name  

Major          

Year    First-Year

           Sophomore

           Junior

           Senior

           Fifth-Year

Phone         

Email          

Artwork Information

Title of Work (1) 

Medium               

  Piece is not for sale

  Piece is for sale

       Price 

Title of Work (2) 

Medium               

  Piece is not for sale

  Piece is for sale

       Price 

Title of Work (3) 

Medium               

  Piece is not for sale

  Piece is for sale

       Price 

  I understand that, if selected, the piece(s) listed above will be on loan to the University Honors Program until November 2009. At the conclusion of the exhibit, it will be my responsibility to retrieve my work or make arrangements with the Program for disposition. If I have not retrieved my work or made arrangements to do so by May 1, 2010, the University Honors Program has the option to display, contribute, dispose of or sell the piece(s), the proceeds of which will be used for charitable or other University Honors Program purposes.