Open to Members of the Otago Art Society Only Entries close Friday 6 November.
First Name (required)
Surname (required)
Address (required)
Town / City (required)
Post Code (required)
Contact Phone (required)
Email (required)
Bank Account (required)
Artwork 1
Title (required)
Medium (required)
Price (required)$
Size of Work (Max 1000mm)
Height (mm) (required)
Width (mm) (required)
Depth (mm) (required)
Photo of Work
JPEG or PNG, up to 5MB. Or email your photo to otagoartsociety@xtra.co.nz, naming the file with your full name and the artwork title.
Artwork 2 (optional)
Title
Medium
Price$
Height (mm)
Width (mm)
Depth (mm)
Entry fee is $15 per entry (non-refundable), limited to 2 entries.
Bank Account for Payment of Entry Fee: Otago Art Society Inc. 02-0929-0274457-000
Bank Reference — Particulars: Your Name, Reference: ArtToGo
Entry Fee Paid Via (required)Direct CreditOAS Gallery Shop
Date Paid (required)
Amount (required)$
Do you consent to your artwork being sold through layby? (required)YesNo
Do you consent to your artwork being removed from the exhibition early if sold? (required)YesNo
Tick only those that apply to you.
I will pick up unsold artworks myself
I authorise someone else to pick up the unsold artworks on my behalf
I am from out of town and have included my pre-paid return courier ticket
If you authorised someone else, please name them here
I agree to the Terms and Conditions of the Art to Go Exhibition as outlined on the pages issued prior to this Entry Form. I certify that I am an Exhibiting, Student or Life member of the Otago Art Society and the entry fee has been paid.
Signature — type your full name (required)
Date (required)
