HEYSEN PRIZE FOR LANDSCAPE

ONLINE ENTRY FORM

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone number

I am registered for GST

ABN

YOUR ENTRY

Title

Medium

Year Made (Artworks must be recent from 2020-2022)

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)

If you are represented by a Gallery please ensure that you have discussed your entry with the Gallery and they agree to the Heysen Prize for Landscape Conditions of Entry. If applicable, provide the Gallery's details below.

Artist's statement (maximum 150 words)

Upload 1 image: high resolution (300dpi); approx A5 in size (148mm x 210mm); max 10GB; jpg, jpeg or tiff format

FileField; MaxSize=10000KB; :not(Multiple); addText=Upload _image

Image file name