*Informations regarding the Artist:

*First name:        *Surname:       *Date of birth:  
 

*Passport n. or I.D. card n.:        *City of residence:  
 

*Full address:       Postal code (or zip):  
   

*Telephone n.:       Telephone n. 2:       *Email:  
 

Eventual co-author/s:  

*Informations regarding submitted artwork/s:

Artwork 1:

*Title:   
 

*Tecnique used:   
 

*Year:        State/Country:  
 

*Dimensions:   

Upload a low-res preview image of your work (no special characters allowed):
(max size: 200 kb, for security reasons only jpg and gif files will be accepted)
 

Artwork 2 (if any):
 

Title:  
 

Tecnique used:   
 

Year:        State/Country: 
 

Dimensions:   

Upload a low-res preview image of your work (no special characters allowed):
(max size: 200 kb, for security reasons only jpg and gif files will be accepted)
 

Artwork 3 (if any):
 

Title:   
 

Tecnique used:   
 

Year:        State/Country: 

Dimensions:   

Upload a low-res preview image of your work (no special characters allowed):
(max size: 200 kb, for security reasons only jpg and gif files will be accepted)
 

Notes\Messages\Eventual other informations:   
 

*I accept Musae terms and I aknowledge that my details will be used for the purposes of Musae and related events - I aknowledge that my data will be used at the sole purpose of this application and eventual related communications and that it will be treated in conformity to the below mentioned italian data privacy law and data security regulations. (Law n. 675/1996 e d.lg. n. 467/2001)