Your name:

First: Last:

Address:

Street:

City: State: Postal Code (zip):


Country:

Phone:

E-mail:

Where did you learn about this opportunity?:

Status: (select one) Student Professional Professor/Instructor

Number of Entries:

I am submitting: Artwork Writing Both

Entry fee total ($):


I will mail entry fee (must be payable in US funds)
(to: Manifest Gallery, International Painting Annual 1 , P.O. Box 6218, Cincinnati, Ohio 45206)

I prefer to use paypal (a link to paypal will be provided upon submission of this form)

I will be submitting my entries by:

Mail (CD)
E-mail attachment (send to show@manifestgallery.org) - this method is preferred.

ENTRY 1 ($10 fee) Title: Medium: Size in inches (h x w x d): (or word length) Date: Notes:	ENTRY 2 ($10 fee) Title: Medium: Size in inches (h x w x d): (or word length) Date: Notes:
ENTRY 3 ($10 fee) Title: Medium: Size in inches (h x w x d): (or word length) Date: Notes:	ENTRY 4 ($10 fee) Title: Medium: Size in inches (h x w x d): (or word length) Date: Notes:
ENTRY 5 ($10 fee) Title: Medium: Size in inches (h x w x d): (or word length) Date: Notes:	ENTRY 6 ($10 fee) Title: Medium: Size in inches (h x w x d): (or word length) Date: Notes:

 

Double check the information you entered above. Clicking SUBMIT indicates that you agree with the conditions of entry and participation as outlined in the full prospectus. It also means you agree to provide adequate images of your artwork should it be selected for the project.

PLEASE be sure you understand the naming requirements for digital images sent as submissions before emailing them.

(A copy of your entry will be automatically sent to the e-mail address you provided.
Please print and retain the e-mail for future reference. Also, please whitelist emails from manifestgallery.org and jason@gator348.hostgator.com)