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ENTRY FORM
First Name
*
Last Name
*
Address
*
Suburb
*
Post Code
*
Phone
*
Email
*
Please indicate which category you would like to enter
*
Please indicate which category you would like to enter
Open Prize
Youth Award
Date of Birth (Youth Award)
Title of work
*
Height x Width x Depth (cm)
*
Medium Used
*
Retail Price $
*
25% commission will be retained from sales
Year of completion
*
(To be completed after January 2025)
Please include a short Artist Statement to accompany your artwork
*
(Limit to 50 words)
Upload an image of your artwork
*
This can be a progress photo if work is not yet complete
Click to choose a file or drag here
Size limit: 10 MB
Terms and Conditions of Sale:
I agree to the above Photographic Consent:
*
I agree to the above Photographic Consent:
YES
NO
I agree to the above Virtual Gallery Consent:
*
I agree to the above Virtual Gallery Consent:
YES
NO
Artist Name
*
Artist Signature
*
Signature
Date
*
Office Use Only:
NAC Co-Ordinator-Sue Roesler:
Date:
Submit Entry
