Contact Details: Dr Jenny Hutchison Mob: 0414 706 521 Fax: (02) 6581 8033 Email Us: Dr Jenny Hutchison Bev Fraser
Artist's Name:
DOB if Youth(12 - 25) entrant:
Artist's Email:
Phone (home): A value is required.
(mobile):
Address: A value is required.
Title of Work and Medium: A value is required.
Description of work: A value is required.
Preferred Zone: Zone1 Zone2 Zone3 Zone4 Zone5 Zone6 Zone7 Zone8 Zone9 Please select an item.
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My work is for sale: Yes No Please make a selection.
I am registered for GST: Yes No Price of my Work is: N.B. A 20% comission will be added to your work. An entry fee of $30 per adult or $15 per youth (12 - 15)applies for each entry to the competition. Direct deposits may be made into the following account ensuring that you put the word AQUA followed by your surname in the blank reference field: BSB: 032-586 Account Number: 000038 Account Name: Port Macquarie - Hastings Council Ref: AQUA Surname Please make a selection.
Price of my Work is: N.B. A 20% comission will be added to your work.
An entry fee of $30 per adult or $15 per youth (12 - 15)applies for each entry to the competition. Direct deposits may be made into the following account ensuring that you put the word AQUA followed by your surname in the blank reference field: BSB: 032-586 Account Number: 000038 Account Name: Port Macquarie - Hastings Council Ref: AQUA Surname
I give consent to Port Macquarie-Hastings Council to reproduce material or document artwork for archival, educational or promotional purposes. Please make a selection.
I have read and agree to the Terms and Conditions of entry. Please make a selection.
To download a PDF version of the entry form to print click here
To download a PDF version of the entry form to print click here