REQUIRED ENTRY FORM (up to 12 entries)

(Required fields are noted in RED. The form will not process without this info. If something is not applicable to you enter N/A.)

Your name:

 First: Last:

Address:

Street:

City: State: Postal Code (zip):


Country:

Phone:

E-mail:

Enter E-mail Again:

Where did you learn about this opportunity?:

Status: (select one)

If Student, please tell us where you study and at what level (i.e. University of Montana, junior):

Field: (artist, designer, architect, etc.)

Your Website:


Facebook Handle:

Twitter Handle:

Instagram Handle:

Number of entries you are submitting:

Entry fee total ($): $40 for up to four, $5 each additional entry.


 I will mail entry fee (must be payable in US funds)
(to: Manifest Gallery, International Painting Annual, 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:


attachment (send to show@manifestgallery.org)

ENTRY 1

Title:

Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

ENTRY 2

Title:

Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

ENTRY 3

Title:
Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

ENTRY 4

Title:

Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

ENTRY 5 ($5 fee)

Title:

Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

ENTRY 6 ($5 fee)

Title:

Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

ENTRY 7 ($5 fee)

Title:

Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

ENTRY 8 ($5 fee)

Title:

Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

ENTRY 9 ($5 fee)

Title:

Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

ENTRY 10 ($5 fee)

Title:

Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

ENTRY 11 ($5 fee)

Title:

Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

ENTRY 12 ($5 fee)

Title:

Medium: (please be specific)

Size in Inches (h x w x d) in inches:

Date:



Notes or viewing link for video:

 

Double check the information you entered above.

Checking this box and clicking SUBMIT indicates that you agree with the conditions of entry and exhibit as outlined in the prospectus, that you are reserving these spots in our jury, that you will pay the entry fee, and that you agree to provide print-quality digital images of your work should it be selected for publication. It also constitutes your assurance that you are the sole owner of the copyright of submitted materials and agree to permit Manifest to utilize the images for the purposes of this project and organizational promotional purposes described in the prospectus.

A copy of your entry will be automatically sent to the e-mail address you provided. If for any reason you submit your entry form more than once, only the most recent form will be retained in our system. All previous forms will be deleted.
Please print and retain the e-mail for future reference. If you do not receive this email right away, please check your spam box.