Art Beyond the Divide
2022 Entry Form
Artist Information
Name
First Name
Last Name
Postal Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
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Entry Information
You may enter up to 6 pieces of work.
Entry 1
Title
Category
Please Select
Oil
Acrylic
Watercolour
Pastel
Other Medium
Young
Digital
Local
Photography
Photography (under 18)
Artwork Size > 1m
Yes
No
Sale Price ($)
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Next
Entry 2
Please leave blank if additional entry is not required
Title
Category
Please Select
Oil
Acrylic
Watercolour
Pastel
Other Medium
Young
Digital
Local
Photography
Photography (under 18)
Artwork Size > 1m
Yes
No
Sale Price ($)
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Next
Entry 3
Please leave blank if additional entry is not required
Title
Category
Please Select
Oil
Acrylic
Watercolour
Pastel
Other Medium
Young
Digital
Local
Photography
Photography (under 18)
Artwork Size > 1m
Yes
No
Sale Price ($)
Back
Next
Entry 4
Please leave blank if additional entry is not required
Title
Category
Please Select
Oil
Acrylic
Watercolour
Pastel
Other Medium
Young
Digital
Local
Photography
Photography (under 18)
Artwork Size > 1m
Yes
No
Sale Price ($)
Back
Next
Entry 5
Please leave blank if additional entry is not required
Title
Category
Please Select
Oil
Acrylic
Watercolour
Pastel
Other Medium
Young
Digital
Local
Photography
Photography (under 18)
Artwork Size > 1m
Yes
No
Sale Price ($)
Back
Next
Entry 6
Please leave blank if additional entry is not required
Title
Category
Please Select
Oil
Acrylic
Watercolour
Pastel
Other Medium
Young
Digital
Local
Photography
Photography (under 18)
Artwork Size > 1m
Yes
No
Sale Price ($)
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Next
Opening Night Tickets
Exhibiting Members attend Opening Night for free, on presentation of entry receipt. Additional tickets are available for $25.00 each and can be added at the end of this form
I will be attending the Opening Night exhibition:
Yes
No
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I will deliver my artwork in person (leave field blank) OR I nominate the following person to deliver on my behalf (please enter name in field):
My Entries
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( X )
Entry - Standard
Measuring less than 1m, including frame, on all sides
$
15.00
AUD
Quantity
1
2
3
4
5
6
Item subtotal:
$
0.00
AUD
Entry - Large
Measuring more than 1m, including frame, on any side
$
20.00
AUD
Quantity
0
1
2
3
4
5
6
Item subtotal:
$
0.00
AUD
Additional Opening Night Tickets
Additional opening night tickets for your guests. Artist attends for free.
$
25.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
I will collect my artwork in person (leave field blank) OR I nominate the following person to collect on my behalf (please enter name in field):
Submit
Should be Empty: