Kotis Street Art Submission Form Question Title * 1. What is your artist name/tag? Question Title * 2. What is your instagram handle? Question Title * 3. Please provide a phone number. Question Title * 4. Please provide your email. Question Title * 5. What is the best way to reach you? Instagram DM Phone Call Text Message Email Other (please specify) Question Title * 6. How would you describe your artistic style? Question Title * 7. Where have you painted? Question Title * 8. What supplies do you require? Bucket Paint Spray Paint Lodging Scissor/Bucket Lift Assistant Food Transportation If you require paint please be sure to submit a paint order form. Question Title * 9. If you are traveling from out of town, what airport would you be flying out of? Question Title * 10. What other dates are you available? Question Title * 11. Do you have any sponsors? Yes No If yes, please list. Question Title * 12. What is the topic if your proposed mural? Question Title * 13. If you have a mockup of what you would like to paint, please upload it for our review. Question Title * 14. If given primary creative control... I agree to wave an artist fee (Kotis' sponsorship would cover lodging, food, paint & supplies) No, I will not wave an artist fee Question Title * 15. If you answered No to the above question, what is your quote/fee for the proposed mural? Question Title * 16. What available wall(s) are you interested in painting?Location: Eden, NC 3 002 3 003 3 004 3 005 3 006 Question Title * 17. What available wall(s) are you interested in painting?Location: Eden, NC 3 015 3 016 3 017 3 019 3 020 Question Title * 18. What available wall(s) are you interested in painting?Location: Eden, NC 3 022 3 025 3 026 3 027 Question Title * 19. What available wall(s) are you interested in painting?Location: Eden, NC 3 033 3 034 3 038 3 039 Question Title * 20. What available wall(s) are you interested in painting?Location: Tracks Bazzar 302 W Gate City Blvd. 3 028 3 029 3 030 3 032 3 033 3 094 3 095 3 096 Question Title * 21. What available wall(s) are you interested in painting?Location: Tracks Bazzar 302 W Gate City Blvd. & 3300 W Gate City Blvd. 3 043 Question Title * 22. What available wall(s) are you interested in painting?Location: 1107 Grecade St. & 3300 W Gate City Blvd. 3 040 3 128 3 129 3 131 Question Title * 23. What available wall(s) are you interested in painting?Location: 1500 Mill St. & Westover 3 045 3 047 3 048 3 051 3 050 Question Title * 24. What available wall(s) are you interested in painting?Location: E Church St. | Battleground Ave. | W Bessemer Ave. 3 116 3 068 Question Title * 25. What available wall(s) are you interested in painting?Location: Painted Plate 3 091 3 092 3 103 3 104 Question Title * 26. What available wall(s) are you interested in painting?Location: Cone Blvd. 3 107 3 109 3 110 Question Title * 27. What available wall(s) are you interested in painting?Location: Cone Blvd. 3 118 3 119 3 120 3 121 3 122 3 123 3 124 3 125 Question Title * 28. What available wall(s) are you interested in painting?Location: W. Market St. & Church Crossing 3 111 3 112 3 113 3 114 Please be sure to submit a description of your finished mural and bios for our team to add to the Kotis Street Art website. Done
