G U I D E B O O K
 ONLINE ENTRY FORM


reguired flelds are marked in red

(If submitting more than 6 entries please click here now for a longer form.)

Your name:

First: Last:


Address:

Street:

City: State/Province: Zip/Postal Code:

Country:

Phone:

E-mail:


Where did you learn about this opportunity? (please be specific)

Status: (select one)

Website:


Number of Entries:

(If submitting more than 6 please click here for a longer form.)

Entry fee total (number of works x $10):

I will mail entry fee (send to: Manifest Gallery, GUIDEBOOK, P.O. Box 6218, Cincinnati, Ohio 45206)
I prefer to use paypal (a link to paypal will be provided upon submission of this form)

I will be submitting my entries by:


attachment (send to show@manifestgallery.org)

ENTRY 1 ($10 fee)

Title:

Medium:

Size (h x w x d) in inches:
(actual artwork only)

Date:

Sale Price (or NFS):
Insurance Value:

Notes: (include framed dimensions if applicable)

ENTRY 2 ($10 fee)

Title:

Medium:

Size (h x w x d) in inches:
(actual artwork only)

Date:

Sale Price (or NFS):

Insurance Value:


Notes: (include framed dimensions if applicable)

ENTRY 3 ($10 fee)

Title:
Medium:

Size in Inches (h x w x d) in inches: (actual artwork only)

Date:

Sale Price (or NFS):

Insurance Value:

Notes: (include framed dimensions if applicable)

ENTRY 4 ($10 fee)

Title:

Medium:

Size (h x w x d) in inches:
(actual artwork only)

Date:

Sale Price (or NFS):

Insurance Value:


Notes: (include framed dimensions if applicable)

ENTRY 5 ($10 fee)

Title:

Medium:

Size (h x w x d) in inches:
(actual artwork only)

Date:

Sale Price (or NFS):

Insurance Value:


Notes: (include framed dimensions if applicable)

ENTRY 6 ($10 fee)

Title:

Medium:

Size (h x w x d) in inches:
(actual artwork only)

Date:

Sale Price (or NFS):

Insurance Value:


Notes: (include framed dimensions if applicable)

 

Double check the information you entered above. Clicking SUBMIT indicates that you agree with the conditions of entry and exhibit as outlined in the prospectus, that you will send the entry fee, and that you agree to make your work available should it be selected for exhibit.

(A copy of your entry will be automatically sent to the e-mail address you provided.
Please print and retain the e-mail for future reference. If you do not receive this email right away, please check your spam box.)