September Exhibition 2023 Entry Form TEST TEST

"*" indicates required fields

Conditions of Entry

Please read the terms and conditions available here: CONDITIONS OF ENTRY

Last Name*

Last Name *

First Name*

First Name *

Phone Number*

Phone Number *

Email Address*

Email Address *

Entry No. 1

Title 1

Title

Price 1

Price

Category

Medium 1

Medium

Entry No. 2

Title 2

Title

Price 2

Price

Category

Medium 1

Medium

Entry No. 3

Title 3

Title

Price 3

Price

Category

Medium 1

Medium

Entry No. 4

Title 4

Title

Price 4

Price

Category

Medium 1

Medium

NOTE on CATEGORIES & MEDIUMS

Category 1. Oil or Acrylic painted as Oil - any subject.
Please select one the following under the Medium Dropdown:
Oil
Acrylic

Category 2. Watercolour, Gouache, Pen & Wash - any subject
Please select one the following under the Medium Dropdown:
Watercolour
Gouache
Pen & Wash

Category 3. Works on Paper.
Please select one the following under the Medium Dropdown:
Pastel
Charcoal
Pencil Ink Mixed Media
Original Prints

Category 4. Contemporary.
Please select one the following under the Medium Dropdown:
Acrylic
Oil
Mixed media

Total Entries

Number of Entries*

Number of Entries *

Please enter a number from 1 to 4.

Fees Payable

Payment

Have fees been paid?*

Or: I would prefer a cheque:

Yes

Payment Method

Paid by Direct Deposit

Paid by Cheque

Bank Details

Bank: Westpac
BSB: 032151
Account: 244092
ID your payment with ME followed by your surname, then your initial, eg: MESmith for John Smith.

Cheques should be made out to:
Oatley 101 Society of Artists Inc
and posted to Jan Law
609/7 Village Place, Kirrawee, NSW
Email: oatley101treas@hotmail.com

Hidden

EFT Reference

Statement by Supplier or ABN?

A Statement by Supplier (from Australian Taxation Office) or an ABN MUST BE PROVIDED
If you do not have a Statement by a Supplier Form go to Statement of Supplier to download one.

Statement of Supplier*

Money for sale of paintings

To be paid by direct deposit:

I declare the following

I have read and accept the Conditions of Entry and certify that my work in this exhibition is my own, unaided and original as per copyright law.

Additional Notes: