5 x 5 Exhibit & Fundraiser Application – Johnson City Public Art

Before you submit your application, be sure to review the 5 x 5 Exhibit & Fundraiser Submission Requirements.

Contact Info
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How Would You Prefer to Receive Your 5 X 5 Panel(s)?
JCPA will provide 5x5 birch wood panels for all participating artists to use as a surface for work (all work must be securely mounted to this panel provided by JCPA). Let us know if you would prefer pick-up or delivery. Select only one option from the list below.
Pick-Up or Delivery?*
- Pick-up at Nancy Campbell's office at City Hall in the Johnson City Public Works Department (601 E. Main St., Johnson City, TN)
- Delivery by JCPA Committee member (Johnson City, Jonesborough, and Elizabethton addresses only). We will email you to schedule a delivery.
- Delivery by mail (Select this option only if you are outside the Johnson City, Jonesborough, or Elizabethton area and you are unable to come to the pick-up location)
How Many Panels Do You Plan to Submit?*
You may submit up to 5 panels to the 5x5 exhibition. Please select one option below.
- 1 panel
- 2 panels
- 3 panels
- 4 panels
- 5 panels

Contact Info