CONTEMPORARY AUSTRALIAN SILVER & METALWORk AWARD ...

Pre-selection form
All entries to be physically received by
Bendigo Art Gallery no later than Friday
1 February 2013. Please include up to two
jpegs (on CD), CV and entry fee of $30
per professional artist and $15 per student
or recent graduate with this form. Please
note: any entry that does not include
all of the above will be ineligible. All
requested information on this form must
be completed.
Name
Address
Details of entries
STUDENTS & RECENT GRADUATES
Category:
Holloware Jewellery
I would like to be considered for the
e.g.etal Award
PROFESSIONAL SILVERSMITHS
Category:
Leviny ADFAS the Arts Centre
* Artists applying for the ADFAS Award must be
an emerging artist: an artist with no more than five
years experience in the profession (post training)
1. Title
State
Date of birth
Country of birth
Telephone
Email
Postcode
Date
Medium
Description of work
Gallery/dealer (if applicable)
Size (cm)
Telephone
Email
STUDENTS AND
RECENT GRADUATES ONLY
Name of institution attended
2. Title
Date
Medium
Description of work
Student number
Current year enrolled
in or graduating year
Payment method
Cheque
Mastercard
Cardholder’s name
Card no
Amex
Visa
Size (cm)
Declaration
I have read the terms and conditions and
information accompanying this application
and agree to abide by them. I am an Australian
citizen or have been a resident of Australia for
at least 12 months. I declare that the artwork(s)
submitted by me are my own original work
and have been executed in the last two years.
Artist’s signature
Expiry date /
Artist’s name
CCV number
Signature
Date