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Financial Support Application Form
Your Name:
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Art Centre (if applicable):
Your Address:
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Your Phone Number:
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Your Email Address:
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Do you identify as Aboriginal or Torres Strait Islander?
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Aboriginal
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Do you identify As?
Female
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Are you an employee with Marin Bowa Dumbara Family Healing Centre?
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Select your category
Art - Paintings
Art - Works on Paper
Art - Mixed Media
Art - Aboriginal Art
Art - Boab Nut
Art - Emerging Artist
Art - Youth
Photo - Landscapes
Photo - Flora & Fauna
Photo - Portraits
Photo - Youth (under 18)
Photo - Snap and send
Art Prize Entry - Title of Artwork
Artwork Measurements
Sale Price
Photographic Prize Entry - Title of Artwork
Photo Description
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Photographic Entry Measuments
Sale Price
Snap & Send - Entry 1
Snap & Send - Entry 2
Snap and Send Attachements
Max File Size:
2.00 MB
Allowed File Types:
.avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Drop off Location
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Derby: Derby Airport, Derby WA 6728
Fitzroy Crossing Library Cnr of Forest Rd and 5 Flynn Dr, Fitzroy Crossing WA, 6765
Shire of Broome Administration Office: 27 Weld St, Broome WA 6725
Kimberley Arts Network Office: 7 Orr St, Broome WA 6725
Shire of Halls Creek: 2 Hall St, Halls Creek WA 6770
Shire of Wyndham East Kimberley: 20 Coolibah Dr, Kununurra WA 6743
Post to: "ATT KAPP", PO Box 94, Derby WA 6728
Snap & Send
Pick up Location
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Derby: Derby Airport, Derby WA 6728
Fitzroy Crossing Library Cnr of Forest Rd and 5 Flynn Dr, Fitzroy Crossing WA, 6765
Shire of Broome Administration Office: 27 Weld St, Broome WA 6725
Kimberley Arts Network Office: 7 Orr St, Broome WA 6725
Shire of Halls Creek: 2 Hall St, Halls Creek WA 6770
Shire of Wyndham East Kimberley: 20 Coolibah Dr, Kununurra WA 6743
Post to: "ATT KAPP", PO Box 94, Derby WA 6728
Snap & Send
Entry Payments
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Art - Adult $55.00
Art - Concession $50.00
Art - Youth (under 18) $20.00
Art - Boab Nut $15.00
Photo - Adult $35.00
Photo - Concession - $30.00
Photo - Youth (under 18) $20.00
Snap and Send - Free
Supply a brief description why you require support
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What would you like assistance for? Please choose only up to 2
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Entry Fees
Hanging systems ($40)
Canvas stretching (Up to $100)
Art Supplies (Up to $100)
Attach Quote for requested support
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Max File Size:
10.00 MB
Allowed File Types:
.avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
I have received approval to share contact details from my secondary contact
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Yes, I agree to the terms and conditions of entry
I declare this is my own work and I have read the terms and conditions of entry:
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