Annex No. 1

ARTVILNIUS’11 APPLICATION FORM

FOR FIRST TIME APPLICANT GALLERIES

Name of the gallery

Address of the gallery

Director

Owner

City/town

Zip code

Telephone Fax

Mobile phone number

E-mail

Website

1. BRIEF PRESENTATION OF THE GALLERY

Founding date of the gallery

Working hours of the gallery

Number of exhibitions held at the gallery per year

Exposition space of the gallery m²

2. Basic trends of gallery’s activities

3. Main artists represented by the gallery

(Please write the name and surname in capital letters)

4.List of exhibitions held at the gallery in 2010, participation in important international art events (listed on a separate page).

5. DESCRIPTION OF THE PROJECT PRESENTED TO ARTVILNIUS’11

Artist presented at ARTVILNIUS’11(1)

Name and surname of the artist

Date of birth

Name of the work

Date of creation

Technique

Size

Special requests for artworks of non-standard size and/or requiring exceptional display conditions.

* Artist presented at ARTVILNIUS’11 (2)

Name and surname of the artist

Date of birth

Name of the work

Date of creation

Technique

Size

Special requests for artworks of non-standard size and/or requiring exceptional display conditions.

*Artist presented at ARTVILNIUS’11 (3)

Name and surname of the artist

Date of birth

Name of the work

Date of creation

Technique

Size

Special requests for artworks of non-standard size and/or requiring exceptional display conditions.

* To be filled in when more than one artist is presented (the number of artists is not limited).

8. Video material and other additional material (underline as applicable) enclosed to the application form:

CVs of presented artists

Photographs of pieces of works

CD, DVD

Other

ATTENTION: The galleries must submit the photographs of the presented artists (max. 3 for one author) in digital image format JPG (up to 2MB) by _____.The submitted photographs must be named (author, name of work, year).

9. Requested exposition area in the art fair ARTVILNIUS’11 is ______sq. m.

10. Application forms, lists of exhibitions (in English), video material must be sent before ...... by e-mail.Video material (CD, DVD) may be sent by post to:

Lithuanian Art Gallerists’ Association

ARTVILNIUS’11

J. Basanavičiaus Str.1/13

LT-01118 Vilnius, Lithuania.

Date

Name, surname

Signature