Your name
Your email
Phone
Street Address
City
State QLDNSWVICSAWANTACTTAS
Postcode There is a limit of 2 entries per section. Entry fee is $20 per artwork entered. How many artwork entries would you like to submit?
Artist Name
Section Number Section 2: Rural Landscape AwardSection 3: Rural Portrait AwardSection 4: Rural Animal AwardSection 5: Rural Photographic Award
Title of Artwork
Medium: Sale Price:
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I certify the work/s I have entered is/are my own original and unaided work, owned by me and completed within the specified timeframe. I have read and I agree to comply with the ‘Conditions of Entry’
Entry Fee = $ Direct Deposit - BSB: 064-418 Acc. No: 10327340 (Use BRYCE & your Surname as reference)Cash (In Gallery Only)EFTPOS (In Gallery Only)Cheque (Payable to Kingaroy Arts Team Inc.)
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