Online Entry – Wells Art Contemporary

Artist Details

Name*

First Name Last Name

Email*

Address*

Street Address Address Line 2 City County / State / Region Postcode Country

Telephone number*

Include country code

Mobile number

Student Entry?

Yes I am a Student

Student Number

Institution Name

Course / Programme Title

Prizes

If you wish to considered for one of the following prizes please tick the appropriate box. Please check in the Rules & Guidelines if you are eligible for the prizes.

Prizes*

JGM Gallery Exhibition Prize
DAC Beachcroft Space Prize
Parker Harris Mentoring Prize
Next Generation Art Prize
To be considered for the Next Generation Art Prize, please tick this box to confirm you are 30 years of age or under?
None of the above

Entry Fee / Number of Works

Number of works*

1 work
2 works
3 works

Standard submission, 1 work

Price: £ 15.00

Standard submission, 2 works

Price: £ 30.00

Standard submission, 3 works

Price: £ 45.00

Student submission, 1 work

Price: £ 12.00

Student submission, 2 works

Price: £ 30.00

Student submission, 3 works

Price: £ 36.00

Declaration

Declaration*

I agree to be bound by the RULES & GUIDELINES for submitting work and understand that all works are submitted at my own risk. If accepted for exhibition, I agree to the reproduction of my work in the press and other media. I authorise the organisers of the Wells Art Contemporary to process and store all data supplied by me pertaining to my application and subsequent entry to the Wells Art Contemporary.

I have read and understand the RULES & GUIDELINES detailed on this site

Payment Card Details

Coupon

Entry Total

£ 0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Email

This field is for validation purposes and should be left unchanged.

ENTRY FORM

Artist Details

Prizes

Entry Fee / Number of Works

Declaration

Payment Card Details