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OFFICIAL ENTRY FORM

THREE INTERNATIONAL ENTRY POINTS
For your convenience there are three International Entry Points. You can pay your Entry Fee by Visa or MasterCard.
USA / CANADA UNITED KINGDOM / EUROPE AUSTRALIA / NEW ZEALAND
1THE AMERICAS 2 AFRICA 3 ALL OTHER COUNTRIES
Send your entry and payment of Send your entry and payment of Send your entry and payment of
US $9 per entry/picture to: £5 (or 8) per entry/picture to: AUS $10 per entry/picture to:
International Artist magazine International Artist magazine International Artist magazine
Challenge No. 96: Challenge No. 96: Challenge No. 96:
Favorite Subjects Favorite Subjects Favorite Subjects
7530 East Main Street, Suite 105 7530 East Main Street, Suite 105 PO Box 1084, Chatswood
Scottsdale, AZ 85251, USA Scottsdale, AZ 85251, USA NSW 2057, Australia
Enter your Credit Card details on the Enter your Credit Card details on the Enter your Credit Card details on the
Entry Form below or include a Check/Money Entry Form or include a Cheque/Money Entry Form or include a Cheque/Money
Order made payable to International Artist. Order made payable to International Artist. Order made payable to International Artist.
(Checks must be in US Dollars and drawn (Cheques must be in Pounds Sterling, (Cheques must be in Australian Dollars
on a US bank) and drawn on a United Kingdom bank) and drawn on an Australian bank)
DEADLINE LAST MAIL RECEIVED ON SEPTEMBER 14, 2016
Please send your entry to the Art Prize coordinator responsible for your zone to the address shown above.
FAVORITE SUBJECTS I understand these pictures will not be returned and that they may be
published, properly credited, in a future issue of International Artist
I am submitting images listed below for this Art Prize Challenge and magazine. I warrant that the entries submitted are entirely my own work
enclose my Entry Fee for each entry as described. and that I own the copyright on each, as well as copyright on all source
material from which these works were created. I hereby grant permission
When posting your entries, please don’t use to the publishers for reproduction of this work for the purposes of this
staples or paperclips on your printouts! competition and agree to the terms and conditions as set out overleaf.
YOUR DETAILS Please print clearly
Your name ____________________________________________________________________________________________________
Address ________________________________________________________________________________________________________________________________________________________
State ______________________________________________________________ Zip/Postcode ________________________ Country ____________________________
Telephone __________________________________________________________________ Email ____________________________________________________________________________
(So we can contact you if you win)
YOUR ENTRIES
ENTRY 1: ENTRY 2: ENTRY 3:
Title of work ___________________________________ Title of work ___________________________________ Title of work ___________________________________
Medium ________________________________________ Medium ________________________________________ Medium ________________________________________
Dimensions (H x W) ____________________________ Dimensions (H x W) ____________________________ Dimensions (H x W) ____________________________
Signature _______________________________________ Signature _______________________________________ Signature _______________________________________
Don’t write on the back of your digital prints, instead, write on a label and stick that on the back. Please do not use bubble wrap, tissue, excessive tape or
other elaborate forms of wrapping. Simply fold cardboard around the entry form as protection.
YOUR PAYMENT
Please find attached my check/money order for the amount of ______________________ made payable to International Artist
OR
Charge the total amount to my Visa MasterCard
Signature ___________________________________________________________________Expiry Date ________________________________

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