Web Release Form

Release Form

To utilize the Release Form, complete the necessary fields, print it out, sign it and send it to:

North Dakota Art Gallery Association
#2 11th Avenue NW
Minot, North Dakota
58703

The Undersigned hereby grants permission to the North Dakota Art Gallery Association, (NDAGA) located at #2 11th Avenue NW, Minot, ND 58701 to use images and promo material supplied to the association by the artist on the NDAGA website.

Artists Name:
__________________________________

Titles of work:

__________________________________

This material may be used on the NDAGA web site and in other educational programming of the association.

Signature:
__________________________________

Date:
__________________________________