Usdan Center Art Exhibit Request Form

Requester First Name Last Name

Phone Number Email

Location Requested

Date of Installation Date of Removal

Sponsor/Organization (if applicable)

 Title of Exhibit

Exhibit Description/Statement

What materials will be needed for installation of the exhibit?

Will the exhibitor install the artwork? YesNo

Will the exhibitor provide the equipment/supplies needed to install the exhibit?YesNo

Does the exhibitor require assistance installing the show? YesNo

Is the artwork insured? YesNo
If it is insured, by who? (proof of insurance must be provided)