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Artist's first, [middle] and last name will be used for
attribution in our galleries of accepted work unless
a different attribution name is entered here.
    (USA, Canada, Mexico)
    (USA, Canada, Mexico)
  (###-###-####[-ext])
  (###-###-####[-ext])
  (http://yoursite)

The link to your website will be included
in our online galleries of accepted work.