Your name:

First: Last:

Address:

Street:

City: State: Zip:

Phone:

E-mail:

Where did you learn about this opportunity?:

Status: (select one) Student Professional Professor/Instructor

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

Number of Entries:

(If submitting more than 6, return to this page to complete the additional entries)

I am submitting: Artwork Writing Both

Entry fee total ($):


I will mail entry fee
(to: Manifest Gallery, interNational Drawing Annual 2007 , 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:

Mail (CD or Slides)
E-mail attachment (send to show@manifestgallery.org)

ENTRY 1 ($10 fee) Title: Medium: Size (h x w x d): (or word length) Date: Notes:	ENTRY 2 ($10 fee) Title: Medium: Size (h x w x d): (or word length) Date: Notes:
ENTRY 3 ($10 fee) Title: Medium: Size (h x w x d): (or word length) Date: Notes:	ENTRY 4 ($10 fee) Title: Medium: Size (h x w x d): (or word length) Date: Notes:
ENTRY 5 ($10 fee) Title: Medium: Size (h x w x d): (or word length) Date: Notes:	ENTRY 6 ($10 fee) Title: Medium: Size (h x w x d): (or word length) Date: Notes:

 

Double check the information you entered above. Clicking SUBMIT indicates that you agree with the conditions of entry and exhibit as outlined in the full prospectus.

(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.)