2024 Entry form

TO COMPLETE THIS FORM YOU WILL NEED

A reference for your exhibition entry fee (date paid, bank reference, or cheque number is acceptable)
Your contact details
Your ABN (if you have one)
Your artwork details including: Title, materials/medium, height, width and depth(if 3D), and artwork price.
Image of your artwork to upload twith the form (Optional)

Please note that:

First entry is free for current 2024 members who have paid their membership fee by 30 September 2024.
Maximum two entries per artist.
You must complete a separate entry form for each artwork entered.
Youth entry is free. Only one entry per artist.

Name*

First NameLast Name

Address*

Street Address Line 1

Street Address Line 2

CityMust be NSW

PostcodeCountry

Are you eligible for the Fairfield City Residents Prize?*

YesNo

Mobile Phone Number*

Please enter mobile number.

Landline Phone Number

Please enter landline phone number.

Email*

example@example.com

Website:

Please enter link to your website or facebook page if you have one

Australian Business Number (ABN) :

Optonal - only if you are registered for ABN

Artwork title:

Artwork Medium*

Please give details:

Size without frame in cm:*

(width x height x depth)

Price:*

Is your Artwork 3-D?

YesNo

Upload 1 image of Artwork

Upload 3 images of Artwork

Please attach 3 photos taken from 3 different angles.

Are you a current FAS member?*

YesNo

Do you wish to join or renew membership?

Join/RenewNo

Please visit: Join

How many artworks are you entering?*

OneTwo

1.Please pay total fees shown below:
Members work1:	Free
Members work2:	Not Applicable
Non-members work1:	Not Applicable
Non-members work2:	Not Applicable
	___________
Total Fees:	$Nil

2.Please pay total fees shown below:
Members work1:	Free
Members work2:	$35
Non-members work1:	Not Applicable
Non-members work2:	Not Applicable
	___________
Total Fees:	$35

3.Please pay total fees shown below:
Members work1:	Not Applicable
Members work2:	Not Applicable
Non-members work1:	$35
Non-members work2:	Not Applicable
	___________
Total Fees:	$35

4.Please pay total fees shown below:
Members work1:	Not Applicable
Members work2:	Not Applicable
Non-members work1:	$35
Non-members work2:	$35
	___________
Total Fees:	$70

All Fees payable to Fairfield City Art Society Inc.by:

Direct transfer to bank account:

BSB: 062217
Acc No: 10340711

*Payment reference FAS then Surname & Initials, eg:FASJonesJA

*Receipt of payment made by bank transfer must be emailed to
admin@fairfieldcityart.org

I have paid the required fees*

Yes

Date

Terms and Conditions*

Fairfield City Art Society Inc.

Fairfield Art Society Open Art Prize 2024