Name (required)
Address (required)
Post Code (required)
Contact Phone (required)
Email (required)
Bank Account (required)
Artwork 1
Title (required)
Medium (required)
Price (required)
Artwork 2 (optional)
Title
Medium
Price
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: Spring
Entry Fee Paid Via (required)Direct CreditOAS Gallery Shop
Date Paid (required)
Amount (required)
I DO NOT consent to my artwork being sold through layby
I DO NOT consent to my artwork being removed from the exhibition early if sold
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 Ryman Healthcare Spring 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)
