ENTRY FORM
MURRURUNDI   ART   PRIZE    2017

Please print clearly
Please complete ALL details

Artist’s Details:

Given name…………………………………………………………………….

Surname……………………………………………… Under 18 years:  YES/ NO 

Address…………………………………………………………………………

             …………………………………………………………………………

Phone…………………………………Mobile…………………………………

Email……………………………………………………………………….(Print clearly)

Signature ………………………………...................( I have read conditions of entry) 

Please nominate each section you enter carefully
You can enter more than one section

No more than three entries per section:


Section :__________________________________________________

Title of Work……………………………………………………………………..

Medium………………………………………………………

Price……………  (Must be included)                     Fee $10 [         ]

Section :__________________________________________________


Title of Work………………………………………………………….

Medium …………………………………………..

Price…………… (Must be included)                          Fee $10 [         ]

Section :__________________________________________________

 
Title of Work………………………………………………………………………….

Medium………………………………………………………….

Price……………   (Must be included)                        Fee $10 [         ]

Section :__________________________________________________


Title of Work…………………………………………………………….

Medium……………………………………………….

Price……………(Must be included)                              Fee $10 [         ]

Section :__________________________________________________

Title of Work………………………………………………………………

Medium……………………………………………………….

Price…………… (Must be included)                                Fee $10 [         ]

 

Section :__________________________________________________

Title of Work………………………………………………………..

Medium………………………………………………………………

Price…………… (Must be included)                                  Fee $10 [         ]

Section :__________________________________________________

               
Title of Work………………………………………………………………

Medium……………………………………………………….

Price…………… (Must be included)                                   Fee $10 [         ]

 

                                                                                    
                                                Total Fee enclosed:                [$               ]       
  

Send entry forms and fee by Friday 12th May 2017 to:

The Secretary
Murrurundi & District Arts Council Inc

PO Box 87  Murrurundi   NSW   2338

Contact: Secretary - Gilly Paterson 6546 6001


 

Hosted by the Murrurundi & District Arts Council Incorporated

| Home | Sections | Conditions | Entry Form| Exhibitions | Results |

FULL ENTRY FORMS:

(PDF Format) - save or print - view and download here
(Word Document) - save or print - view and download here - (for Explorer Browsers)