Belonging LAS Exhibition Entry Form

'BELONGING' EXHIBITION ENTRY FORM

Entry Fees: $10 for first entry; $5 for second entry payable by EFT to Launceston Art Society BSB 067003 A/C 28016820
Last Name
First Name
Email
Phone Number
Artwork #1 - Title of Work
Medium
Price
Size of Work
Artwork #2 -Title of Work
Medium
Price
Size of Work
preferred gallery attendance date (16/3/25 - 27/3/25)*

MonthDayYear
Time
preferred gallery attendance time 10.30am - 12.45pm, OR 12.45 - 3pm.*

Hour Minutes

AM/PM Option
I agree to abide by the conditions of entry *

Clear
Should be Empty:

'BELONGING' EXHIBITION ENTRY FORM