image by Leslie Nichols (INDA 9)
 WRITING
 REQUIRED ONLINE ENTRY FORM



SUBMISSION AND PUBLICATION AGREEMENT


ENTRY FORM (up to 6 written entries)

required fields are marked in red

Your name:

First: Last:


Address:

Street:

City: State/Province: Zip/Postal Code:

Country:

Phone:

E-mail:

NOTE! PLEASE whitelist email from the domain manifestgallery.org or you may not receive our communications about this project. If you do not receive a copy of this entry form by email, please check your spam box.


Where did you learn about this opportunity? (please be specific)

Status: (select one)

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

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


Number of Entries:


Focus Topic of Submission (to which of our three publications is this most relevant?): (select one)

Entry fee total (number of works x $12):

I will mail entry fee (send to: Manifest Gallery, WRITING, P.O. Box 6218, Cincinnati, Ohio 45206)
I prefer to use paypal or credit card (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). Please do not send files via Google links.

ENTRY 1 ($12 fee)

Title:


Word Length:

Date:




Notes:

ENTRY 2 ($12 fee)

Title:


Word Length

Date:




Notes:

ENTRY 3 ($12 fee)

Title:

Word Length:

Date:



Notes:

ENTRY 4 ($12 fee)

Title:


Word Length:

Date:



Notes:

ENTRY 5 ($12 fee)

Title:


Word Length:

Date:



Notes:

ENTRY 6 ($12 fee)

Title:


Word Length:

Date:



Notes:


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 send the entry fee, that you attest to your sole ownership of the material and agree to allow Manifest to publish it for the purposes explained in the prospectus.

A copy of your entry form 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.