Art Awards Online Entry Form Personal detailsName(Required) Given name Surname PronounOptional: To which personal pronoun do you identify (he/she; his/her): Address(Required) Street Address City Post code Telephone(Required)MobileEmail(Required) Enter Email Confirm Email Are you a first-time entrant?(Required) Yes No How did you first find out about the Art Awards? Artwork detailsIf not known, please supply these details when submitting your artworkName of artwork Media Date completed DD slash MM slash YYYY Is the artwork one of a multiple run, such as a photographic or other kind of print? Yes No How many prints are in the run?Selling price35% commission on salesPlease supply details of an account to deposit the proceeds from the sale of your artworkName of account Account NumberArtist statementOptional – 100 words maximumPaymentI am paying(Required) $10 for students $20 for others What school are you attending?(Required) Payment Method(Required) Credit Card Internet Banking It is important for us that as many people pay online as possibleCredit Card Name of account: Friends of Pātaka Account number: 030547 0651464 00 Reference: Surname and initialAcknowledgementBy submitting this entry form you agree that you have read the terms and conditions of entry and agree to abide by them. We reserve the right to reject entries if they do not fulfill these conditions. We endeavour to exhibit all entries but exhibition space is limited and may require us to not exhibit some entries and offer the right of withdrawal.QueriesIf you have any queries, please email [email protected] When you submit your entry you will be sent an email with further instructions and files of the label and tag to accompany your artwork when you deliver it to Pātaka reception.Total to pay
