Name *
Phone *
I confirm that I am a HAAA member and I have paid membership dues for 2019 *
I agree that images submitted, including my art or myself, may be used by HAAA and/or cosponsor(s) in promotional materials, including print, website, and social media *
I understand that the calendar is juried and my there is the possibility that my work may not be chosen *
The work that I have submitted is my own *
I have the legal right to have this work published