ENTRY FORM - JAA MEMBER (PAID ENTRY)
2025 SENIOR CATEGORIES
Entrant Name
*
First Name
Last Name
Manufacturer Name
*
First Name
Last Name
Owner Name
*
* Required for insurance purpose, if different from the Entrant. This can be a person or company
Mobile/Phone
*
Email
*
Company
*
JAA Member number
*
Postal Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of entry
*
Description of entry
*
0/125
Motivation
*
0/125
Materials used
*
0/125
Country of manufacture
*
Setter
*
If no setting, please write N/A
Hand Engraver
*
If no hand engraving, please write N/A
Wax Carver
*
If no wax carving, please write N/A
Gem cutting / Carving
*
Name of lapidarist if known, or N/A
Does the entry contain elements of the following:
*
CAD/CAM/CAST
Wax carved and cast
Machine made
None of the above
Wholesale value of entry (AUD$)
*
Including materials, labour and GST. JAA liability limit $50,000
PAYMENT
*
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Metal (JAA member)
$
155.00
AUD
Colour (JAA Member)
$
155.00
AUD
Diamond (JAA member)
$
155.00
AUD
CAD/CAM/CAST (JAA member)
$
155.00
AUD
Contemporary (JAA member)
$
155.00
AUD
Sketch (JAA Member)
$
40.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Total
$
0.00
AUD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Declaration
*
*
Submit entry
Should be Empty: