Information and Conditions of Entry

ASOC/ACT Region Catchment Groups Art Exhibition and Prizes Entry Form with PayPal Payment
Please read conditions of entry prior to completing this form.

 14 – 21 April 2018

Form must be submitted by 6 April 2018.
Home Phone:
ASOC Membership Number (if known):

ART WORKS SUBMITTED RE: - Recording the Heritage Sites of the Region in Fine Art

Title of Work 1:*
Size in cm (Work 1) e.g. 20 x 10cm*
Medium Work 1:*
Work 1 Entry Fee:*

Title of Work 2:
Size in cm (Work 2) e.g. 20 x 10cm(1)
Medium Work 2:
Work 2 Entry Fee:

Title of Work 3:
Size in cm (Work 3) e.g. 20 x 10cm(1)(1)
Medium Work 3:
Work 3 Entry Fee:
Total Amount:

Click anywhere in the grey area of this form and check details, particularly total, before clicking on the Submit button.

By clicking on the Submit button you will be submitting your form electronically and will be  directed to Paypal to make your payment. When the payment has been made click in PayPal on Return to Vendor to get your confirmation message.

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