ENTRY FORM
(up to 12 entries)

(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:

Enter e-mail again:

Facebook handle:

Twitter handle:

Instagram handle:


Where did you learn about this opportunity?:

Status: (select one)

If Student, please tell us where you study and at what level (i.e. University of Montana, junior):

Field: (artist, designer, architect, etc.)

Number of Entries:

Entry fee total ($): $36 for up to three, $10 each additional entry.


I will mail entry fee (must be payable in US funds)
(to: Manifest Gallery, 6th International Photography Annual, 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)

ENTRY 1

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:

ENTRY 2

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:

ENTRY 3

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:

ENTRY 4 ($10 fee)

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:

ENTRY 5 ($10 fee)

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:

ENTRY 6 ($10 fee)

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:

ENTRY 7 ($10 fee)

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:

ENTRY 8 ($10 fee)

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:

ENTRY 9 ($10 fee)

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:


ENTRY 10 ($10 fee)

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:

ENTRY 11 ($10 fee)

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:


ENTRY 12 ($10 fee)

Title:

Medium: (please be specific. do not simply list 'photography')

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

Date:



Notes or viewing link for video:

 

Double check the information you entered above.

Checking this box and clicking SUBMIT indicates that you agree with the conditions of entry and exhibit as outlined in the prospectus, that you are reserving these spots in our jury, that you will send the entry fee, and that you agree to provide print-quality digital images of your work should it be selected for publication.

A copy of your entry will be automatically sent to the e-mail address you provided. If for any reason you submit your entry form more than once, only the most recent form will be retained in our system. All previous forms will be deleted.
Please print and retain the e-mail for future reference. If you do not receive this email right away, please check your spam box.