The Dog Exhibition Callout

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone number

Are you registered for GST?

ABN

YOUR ENTRY

Title

Medium

Year Made

Total or framed size of work in cm: 2D works max H200cm x W175cm x D50cm; 3D works max 1.5m square, H2m and 250kg

Height (cm)

Width (cm)

Depth (cm)

Retail Price (INC GST inclusive of 40% commission)

Artist's statement (maximum 150 words)

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Image file name