Art Competition

THECA Art Show - Entry Form

First Name

Last Name

Address

Suburb

Postcode

Home Phone Number

Mobile Number

* Two (2) entries only. $5 per entry.

Details of art work:

Art work (1)

Size: (Max size 50cm x 50cm)

Sale price:

Art work (2)

Size: (Max size 50cm x 50cm)

Sale price:

I have read the Conditions of Entry and agree to abide by them

Total entry fee: ($5 per entry)

Method of payment:

Cheque

Direct Credit

To participate in the Art Show, the entry fee needs to be received by THECA before 30 September 2017.

Post entry form to: THECA, P.O. Box 804, Kenmore Qld. 4069

Cheque payment: Make cheque payable to THECA Inc.

Direct credit: BSB: 814 282 Account Number: 3017 6129 Account Name: THECA Inc Reference: Art + yoursurname + initial/s (eg. Art SmithJ)

For more information, phone Christine 3202 9301 or email czupanc@optusnet.com.au

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