Exhibition Entry Form

ENTRIES AFTER 11:59 ON 11/30/2016 WILL NOT BE ACCEPTED

* Required Fields

To Pay online with a Visa or Mastercard:
1) Please fill in the form below
2) Entries must have been made in the last two years
3) Up to three entries can be submitted
Please follow image file submission specifications or your entry will not be recorded.
- jpeg format only
- saved jpg files at 72 dpi
- longest dimension must be between 650 and 700 pixels in length
- Name Image files with last name and entry number (Smith1.jpg, Smith2.jpg...) Name detail image files with the above file name followed by "underscore D" (Smith1_D.jpg, Smith2_D.jpg...)
- There should be nothing to identify the artist in the images (no signatures, no faces, etc.)
*First Name:
*Last Name:
*Email Address:
*Address:
*City:
State:
*Zip Code:
*Country:
*Phone:
Website:
*Exhibition Type:	International Student
If you selected Student, please fill out the next three boxes.
Instructor:
Institution Name:
Institution City, State, Country:
*Number of Pieces Submitting:
Please fill out the following for each piece being submitted.
Entry 1
*Title:
*Description (jewelry, wall piece, miscellaneous, etc.):
*Materials (enamel, graphite, silver, copper, etc...) :
*Dimension Units:
*Dimensions:
*Sale Price in US dollars (enter NA if not for sale):
*Insurance Value in US dollars:
*Technique Used:
Image of Entry 1 (JPEG FILES ONLY!!!!! File Name must be last name and entry number, i.e. Smith1.jpg):
Detail Image of Entry 1 (JPEG FILES ONLY!!!! Add "underscore D" to the file name, i.e. Smith1_D.jpg):
Entry 2
Title:
Description (jewelry, wall piece, miscellaneous, etc.):
Materials (enamel, graphite, silver, copper, etc...):
Dimension Units:
Dimensions:
Sale Price in US dollars (enter NA if not for sale):
Insurance Value in US dollars:
Technique Used:
Image of Entry 2 (JPEG FILES ONLY, File Name must be last name and entry number, i.e. Smith2.jpg):
Detail Image of Entry 2 (JPEG FILES ONLY, add "underscore D" to the file name, i.e. Smith2_D.jpg):
Entry 3
Title:
Description (jewelry, wall piece, miscellaneous, etc.):
Materials (enamel, graphite, silver, copper, etc...):
Dimension Units:
Dimensions:
Sale Price in US dollars (enter NA in not for sale):
Insurance Value in US dollars:
Technique Used:
Image of Entry 3 (JPEG FILES ONLY, File Name must be last name and entry number, i.e. Smith3.jpg):
Detail Image of Entry 3 (JPEG FILES ONLY, add "underscore D" to the file name, i.e. Smith3_D.jpg):
Payment Entry Fee
Enamelist Society Member:	$35.00
Non-Member:	$45.00
Student:	$15.00
*Only Visa or Mastercard accepted
* Payment Method:
Accountholder Information - must match billing information.
First Name:
Last Name:
Credit Card
Card Nbr:	**Numbers only
Exp Date:	/
CVV:	What is this?
Billing Address - must match billing information.
Street:
City:
State, Zip:
Country:
Billing Email:
AGREEMENT
Artists shall be responsible for the costs of shipping and insuring their work both to and from the exhibition. Accepted work must be left for the duration of the exhibitions. The receipt of an entry in the 2017 exhibition will constitute agreement by the entrant with all conditions set forth in this submission and the show's prospectus. The Enamelist Society reserves the right to refuse work that differs from the images submitted, work that displays unacceptable craftmanship, or work that arrives damaged. Please check below that you have read and assent to the terms and conditions for participation in Alchemy4 as set forth in the prospectus. Entry into this competition and checking the box indicates your acceptance and compliance with all the aforementioned and that you grant permission to duplicate your image/s to be used for educational, public relations, publication or advertising purposes.
By checking the box below, I give the Enamelist Society permission to charge my credit card for the above amount and certify that I am over 18 and the cardholder.
*I Agree:
Questions or Comments:
*Authentication:
*7 + 0 =	Enter the correct answer to the math question.
Please click the Send button only once.