2022 Entry Form "*" indicates required fields Artist DetailsName* First Name Last Name Postal Address Street Address Address Line 2 City State Post Code Phone (daytime)Phone (evening)Email Website ABN Trading Name I associate with an indigenous heritage: Yes No Name of indigenous community How did you hear about usMandorla Mailing ListFacebookArt Prizes websiteArts HubArtists ChronicleArt MonthlyArt AlmanacArtlinkOtherOther: Gallery DetailsI am represented by a gallery Yes No Commission required to be split Yes No Gallery Name Gallery Phone Gallery Email Agent Name Artwork DetailsArtwork Title* Dimensions*(Please refer to the Terms and Conditions for size and weight restrictions) 2D (single panel) 2D (multi-panel) 3D Multimedia/Digital Video Size - Height(cm)* Size - Width(cm)* Size - Depth(cm)* Weight (kg)* Medium/s used* Year executed* Price (AUD)Multimedia - Duration (min:sec) Multimedia - Format mp4 mov Display RequirementsArtist Statement*Tell us about the artwork you are enteringArtist Bio*Tell us about you and your artistic practiceImagesNumber of images submitted* 2 3 4 Multimedia/Digital Video FilesIf you are unsure of how to send us a copy of your file, we recommend using a service like www.wetransfer.com. File Upload*Please upload in JPG, GIF, PNG, PDF, TIF or BMP format to maximum size of 5MB per image. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, tif, bmp, Max. file size: 5 MB, Max. files: 5. ChecklistThe following is included with my entry Completed entry form 2-4 correctly labelled high resolution images (and link to digital video if appropriate) Artist's Statement Artist's biography Declaration I have read and accept the Terms & Conditions HiddenName ConfirmationOffice Use Only Entry FeeTotal Credit CardCard Details Cardholder Name
