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Ficifolia Art Show Entry Form

Please let us know if you are a

Primary Student

Secondary Student

Baw Baw Resident

Other

Your Name

Your Surname

Address

Email

Telephone

xx-xxxxxxxx

Mobile

Art Show Entries

Please enter the details of each of the works you would like to enter in the Ficifolia Arts Show.

Details of Work #1

Title of Work

Medium:

Size:

In cm (HxWxD)

Category

Open

Best Contemporary Land/Seascape

Best Portrait

Best 3D Exhibit

Best Photographic Work

Warragul Camera Club-best novice image

Warragul Camera Club-most successful photography exhibitor

Best Fibre Art exhibit

Best Printwork

Best Sporting Artwork in any medium

Best Still Life

Best Mosaic

Best Youth Work

Best Child Work

Sale Price $

Includes 25% commission

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Details of Work #2

Title of Work

Medium Copy

Size in cms:

In cm (HxWxD)

Category Copy

Open

Best Contemporary Land/Seascape

Best Portrait

Best 3D Exhibit

Best Photographic Work

Warragul Camera Club-best novice image

Warragul Camera Club-most successful photography exhibitor

Best Fibre Art exhibit

Best Printwork

Best Sporting Artwork in any medium

Best Still Life

Best Mosaic

Best Youth Work

Best Child Work

Sale Price $

Includes 25% commission

---------------------

SMALL WORK ONLY (up to 20cm including frame)

Title of Work

Medium

Size:

In cm: (HxWxD) including frame

Category:

Sale Price $

Includes 25% commission

---------------------

Pay with PayPal or Credit Card ... (please enter $10.00 for each item)

Payment

AUD $

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