Name
*
Name for Title Card/Label
*
-Can be an artist name, can include a social handle, eg: Bowie @bowieadoginsane
Email
*
Instagram
Website
I agree to the Fitzroy Public Gallery Terms and Conditions
*
Yes
I am able to dropoff and collect my artwork at the times in the Terms and Conditions.
*
Yes
I confirm my artwork(s) fit within the size restriction (100cm by 100cm)
*
Yes
I consent to my image(s) being used for publicity and marketing. (not mandatory)
*
Yes
No
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Artwork Title 1
*
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*
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of
Medium
*
example: archival pigment print, silver gelatin, oil on canvas, acrylic on canvas, cotton, bronze, clay etc.
Year
*
Size
*
Price for Sale
*
If NFS, put "0". The Gallery's commission is to be 25% of the retail price of the artwork. Price Limit: $3,500
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*
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Title (2)
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Title (3)
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Title (4)
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Title (5)
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Title (6)
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Title (7)
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Title (8)
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Title (9)
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My Products
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( X )
Entry Fee
$
35.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
AUD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Should be Empty: