ENTRY FORM

1st International PAINTING Annual

Postmark Deadline for Entry:
June 30, 2010

(Required fields are noted in RED. The form will not process without this info.)

Your name:

First: Last:

Address:

Street:

City: State: Postal Code (zip):


Country:

Phone:

E-mail:

Where did you learn about this opportunity?:

Status: (select one)

Number of Entries:

I am submitting:

Entry fee total ($):


I will mail entry fee (must be payable in US funds)
(to: Manifest Gallery, International Drawing Annual 5 , 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:


attach
ment (send to show@manifestgallery.org) - this method is preferred.

ENTRY 1 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:

ENTRY 2 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:

ENTRY 3 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:

ENTRY 4 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:

ENTRY 5 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:

ENTRY 6 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:

ENTRY 7 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:

ENTRY 8 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:

ENTRY 9 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:


ENTRY 10 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:

ENTRY 11 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:


ENTRY 12 ($10 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (actual artwork only) - (or word length)

Date:



Notes:

 

Double check the information you entered above. Clicking SUBMIT indicates that you agree with the conditions of entry and participation as outlined in the full prospectus. It also means you agree to provide adequate images of your artwork should it be selected for the project.

PLEASE be sure you understand the naming requirements for digital images sent as submissions before emailing them.

(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. Also, please whitelist emails from manifestgallery.org and jason@gator348.hostgator.com)