Application Form



Please fill out this information and email it to: afflatusmagazineau@gmail.com with the subject 'Issue 4 Submission'
Make sure you have read the Submission Guidelines before applying

Name:
Alias (if applicable):
Location (city/state):
Art discipline (e.g. photography, fashion designer):
Brief background on you and your work (approximately 100 words):
Work to be submitted (attachment or a link. If performer provide examples of work):
Title of work (if applicable):
Is this work exclusive:
What kind of feature(s) would you like:
Do you require/desire photos taken of yourself/your work:

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