OHIO, KENTUCKY, INDIANA
REQUIRED ONLINE ENTRY FORM


SUBMISSION AND EXHIBITION AGREEMENT

ENTRY FORM (up to 12 entries)

Required fields are marked in red. If any are not applicable then state N/A.
The contact information you provide should be one-hundred percent accurate and used regularly. This is especially important for the email address and phone number, as this is the only means by which we can contact you regarding your submission.


required fields are marked in red

Your name:

First: Last:

Address:

Street:

City: State/Province: Zip/Postal Code:

Phone:

E-mail:

Enter e-mail again:

NOTE! PLEASE whitelist email from the domain manifestgallery.org or you may not receive our communications about this project. If you do not receive a copy of this entry form by email, please check your spam box.

Your email address will be added to our digest list for opportunity emails (you will be able to adjust or remove your subscription at any time.)


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

Status: (select one)

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

Website URL (if you have one):


Facebook handle:

Twitter handle:

Instagram handle:

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: $40 for up to four works, $5 each additional entry.

I will mail entry fee (send to: Manifest Gallery, REGIONAL: OHIO, KENTUCKY, INDIANA, 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

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes: (include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)

ENTRY 2

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes: (include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)

ENTRY 3

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes: (include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)

ENTRY 4

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes: (include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)

ENTRY 5 ($5 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes: (include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)

ENTRY 6 ($5 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes: (include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)

ENTRY 7 ($5 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes: (include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)

ENTRY 8 ($5 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes: (include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)

ENTRY 9 ($5 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes:
(include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)


ENTRY 10 ($5 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes: (include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)

ENTRY 11 ($5 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes:
(include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)


ENTRY 12 ($5 fee)

Title:

Medium:

Size in Inches (h x w x d) in inches: (or duration if applicable)

Date:

Sale Price (or NFS):

Insurance Value:

Viewing Link: (for video entries only)


Notes: (include framed dimensions if applicable, or other things we should know. copy/pasted text is fine)

 

Double check the information you entered above. This is a formal agreement to exhbit at Manifest.

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 ship or deliver your work on time should it be selected for exhibit. This also means you agree not to double-book or otherwise create conflicting obligations for these specific works until after notification of our jury results, that the information you have provided above is complete and accurate, and that you own the sole copyright to images/artwork/text submitted under your name.


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.