Entry Form for G&W Regional Exhibition - Gauteng 2017
Your Banking Details
Complete the entry form and transfer your entry fee, see banking details below, and make sure all required fields are completed and you have a record of which of your pieces are items number 1, 2 and 3 then press submit.
At this stage your images are not required, but they must be prepared and ready to send, less than 1mb each if possible.
On receipt of your submission you will be sent an email giving you the file numbers for your images and the information of how to submit the images of your work. Please keep a note of which items are 1, 2 and 3
The spaces below are to complete with the details of your 3 entries. One of your entries may be a group, set or installation which will be sold as one piece and will not be broken up and sold as individual pieces. If you are entering an installation an artist's statement may be submitted with the images.
Surname:
First Name:
Title:
Phone:
Cell No:
email:
Region:
Item 1
Title of work:
Medium:
Description:
(No more than 10 words):
HxWxD in cm:
Weight:
Selling Price:

Item 2
Title of work:
Medium:
Description:
(No more than 10 words):
HxWxD in cm:
Weight:
Selling Price:

Item 3
Title of work:
Medium:
Description:
(No more than 10 words):
HxWxD in cm:
Weight:
Selling Price:

Account Holder:
Bank:
Branch:
Branch Code:
Type of Account:
Account Number:
Ceramics SA Gauteng
FNB Westgate
Branch code 250841
Acc no. 56340006555
Reference: Your name-Regional

Our Banking Details
I have previously entered a CSA Regional Exhibition
I have submitted my entry fee of R200.00 to Ceramics Southern Africa.
I am a paid up member of Ceramics Southern Africa
I have read and accept the conditions of entry
YesNo