Double Entry Form

Entry Form

Please fill all required fields. Entries close 8th May 2026.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Local Artist*
I have an ABNI am registered for GSTI do not have an ABN and deem to be a hobby artist
ABN (if applicable)
Entry Information

Entries limited to two per person. Please select each artworks medium and then fill out art title and sale price for your artworks. Maximum number of entries maybe limited to 200.
Will courier service be utilised?*
prevnext( X )
No, I will organise artwork drop off and collection independently
This fee covers your cost to enter two artworks

$50.00AUD

Yes, I would like to utilise courier service
This fee covers your cost to enter to artworks + courier service to and from the artshow

$100.00AUD

Total

$0.00AUD
Entry One Medium*
i.e. 'oil', 'acrylic', pastel', 'mixed' etc.
Entry One Title*
Name of artwork as it will appear in catalogue
Entry One Sale Price*
Total Sale Price (includes commission)
Entry Two Medium*
i.e. 'oil', 'acrylic', pastel', 'mixed' etc.
Entry Two Title*
Name of artwork as it will appear in catalogue
Entry Two Sale Price*
Total Sale Price (includes commission)
Yes
Payment Method:

EFT

Acc Name: Rotary Club of Pinjarra Inc. Art Show

BSB: 633000

Acc No: 157617200

Please make payment by the 2nd of May using your First + Last Name as the reference
Should be Empty:

Entry Form