Financial Support Application Form » Kimberley Art and Photographic Prize

Your Name:*This field is required.

* Required Field.

Art Centre (if applicable):

Your Address:*This field is required.

* Required Field.

Your Phone Number:*This field is required.

* Required Field.* Please supply valid phone number.

Your Email Address:*This field is required.

* Required Field.* Please write valid email address.

Do you identify as Aboriginal or Torres Strait Islander?*This field is required.

AboriginalTorres Strait IslanderPrefer not to sayNo

Do you identify As?

FemaleMalePrefer not to say

Are you an employee with Marin Bowa Dumbara Family Healing Centre?*This field is required.

* Required Field.

Select your category

Art - PaintingsArt - Works on PaperArt - Mixed MediaArt - Aboriginal ArtArt - Boab NutArt - Emerging ArtistArt - YouthPhoto - LandscapesPhoto - Flora & FaunaPhoto - PortraitsPhoto - Youth (under 18)Photo - Snap and send

Art Prize Entry - Title of Artwork

* Required Field.

Artwork Measurements

Sale Price

* Please enter the amount you wish to sell your artwork for.

Photographic Prize Entry - Title of Artwork

Photo Description*This field is required.

* Required Field.

Photographic Entry Measuments

Sale Price

* Please enter the amount you wish to sell your artwork for.

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*This field is required.

* Required Field.

Pick up Location*This field is required.

* Required Field.

Entry Payments*This field is required.

Art - Adult $55.00Art - Concession $50.00Art - Youth (under 18) $20.00Art - Boab Nut $15.00Photo - Adult $35.00Photo - Concession - $30.00Photo - Youth (under 18) $20.00Snap and Send - Free

Supply a brief description why you require support*This field is required.

* Required Field.

What would you like assistance for? Please choose only up to 2*This field is required.

Entry FeesHanging systems ($40)Canvas stretching (Up to $100)Art Supplies (Up to $100)

Attach Quote for requested support*This field is required.

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*This field is required.

Yes

* Required Field.

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:*This field is required.

* Required Field.

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