MASTER PIECES
 REQUIRED ONLINE ENTRY FORM


reguired flelds are marked in red

Your name:

First: Last:

Address:

Street:

City: State/Province: Zip/Postal Code:

Country:

Phone:

E-mail:

NOTE! It has come to our attention that yahoo.com may be filtering as spam, or outright rejecting, email messages sent to our entrants who use yahoo email addresses. This has caused some significant trouble when important messages are not received. If you have an alternate email address you can provide and use for communicating with Manifest, please list that one.


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

Status: (select one)

Graduate School:

Website:


Number of Entries:

(If submitting more than 12, return to this page to complete the additional entries and increase the entry number on filenames accordingly.)

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

I will mail entry fee (send to: Manifest Gallery, Master Pieces, 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 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 2 ($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 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 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 5 ($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 6 ($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 7 ($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 8 ($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 9 ($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 10 ($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 11 ($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 12 ($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)

 

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 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.)