ENTRY FORM
Payment Reference No.*
Name*
Street Address*
City*
Postcode*
Phone/Mobile*
Email Address*
Web Address
1. TITLE OF WORK
Year
Medium
Dimensions (H x W x D cm)
Price (inc. 20% Commission)
2. TITLE OF WORK
Year
Medium
Dimensions (H x W x D cm)
Price (inc. 20% Commission)
3. TITLE OF WORK
Year
Medium
Dimensions (H x W x D cm)
Price (inc. 20% Commission)
UPLOAD FILE (Artwork 1 - Image 1 JPEG Format)
UPLOAD FILE (Artwork 1 - Image 2 JPEG Format)
UPLOAD FILE (Artwork 2 - Image 1 JPEG Format)
UPLOAD FILE (Artwork 2 - Image 2 JPEG Format)
UPLOAD FILE (Artwork 3 - Image 1 JPEG Format)
UPLOAD FILE (Artwork 3 - Image 2 JPEG Format)
I have read the Terms & Conditions
*Compulsory Fields