Entry FormPlease complete the online entry form below to submit your artwork for consideration in The R & M McGivern Prize. You will need to enter your credit card or debit card details in the payment section before being able to finalise your submission. This form allows for the submission of a single artwork. If you wish to enter multiple artworks in the Prize, you will need to submit a new entry form, including payment, for each additional artwork. If you experience any technical problems when using this form or have a query about the entry process, please send a detailed email to firstname.lastname@example.org Admin: Entry ValidationAdmin: manual entry?Select to indicate hard copy entry or manual entry from data received by emailNoYes (received by email)Yes (hard copy form)Admin: send confirmation email?If this is a manual entry, select this field to send a confirmation email to the entrant (including details of their submission) when you press the submit button Send confirmation email to entrant Admin: payment methodChanging this from the default will allow you to successfully submit the form without needing to enter credit card informationStripe (via this form)Stripe (manually entered in Stripe account)Stripe (invoice issued separately via Stripe)ChequeAdmin: separate payment received?Use this field to indicate when payment is confirmed received by Maroondah. If you are checking this box while creating an entry on the front end, this will result in an invoice being sent to the entrant. If you are checking this box while editing the form in the back end, first 'Update' the entry and then use the 'Resend Notifications' function in the right-hand column to send an invoice (choose 'Manual Entry // Tax Invoice') Note: after submission, you will need to mark this entry as paid by viewing the entry on the backend, clicking 'Edit' and editing 'Payment Details' in the right-hand-column Payment has been received separately by Maroondah Admin: Stripe payment IDEnter the Stripe payment ID if payment has been manually entered in the Stripe account or if invoice has been issued separately via Stripe Note: after submission, you should also enter this by viewing the entry on the backend, clicking 'Edit' and editing the 'Transaction ID' in 'Payment Details' in the right-hand-columnAdmin: cheque numberEnter cheque number if payment has been received by cheque Note: after submission, you should also enter this by viewing the entry on the backend, clicking 'Edit' and editing the 'Transaction ID' in 'Payment Details' in the right-hand-columnAdmin: notesIf submitting manually, enter any relevant notes on this entryAdmin: ShortlistingShortlisting Shortlist 1 Shortlist 2 Finalist Artist InformationUnique ID / Confirmation NumberName * Required First name(s) Last name Address * Required Address line 1 Address line 2 (optional) Suburb/town Please selectAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaAustralian Antarctic TerritoryChristmas IslandCocos (Keeling) IslandsJervis Bay TerritoryNorfolk Island State/territory Postcode Phone * RequiredEmail * Required Enter email Confirm email Website - enter a valid website URL for example http://www.google.comPlease include http:// or https:// at the beginning Artwork InformationTitle * RequiredMedium * RequiredFor the purposes of the Prize, the term painting is defined as using the medium of oil, acrylic, gouache and watercolourDimensions * RequiredFormat: H x W cm. The maximum size of paintings that will be accepted is 160cm high by 160cm wideDate of work * RequiredAn applicant’s painting must have been completed since 1 January 2018Please select20182019Artwork image * Required File uploadFile requirements: JPG or JPEG, minimum 1600 pixels wide, maximum 2MB file sizeStatement and CVEntry statement * RequiredMaximum 200 wordsArtist CV * Required File uploadUpload your one page (A4) CV / biography. File requirements: PDF, DOC or DOCX, maximum 2MB file sizeTerms & ConditionsDeclaration * Required I declare that I am an artist living in Australia. I have read and accept the conditions of entry for the R & M McGivern Prize. The materials submitted for consideration by the judging panel represent my own original work. Stay Up to DateArts in Maroondah e-news Sign up to receive e-news about exhibitions, events and activities in Maroondah Entry PaymentThe R & M McGivern Prize 2019 Entry Fee Entry Fee: $ 30.00 (Includes GST)Payment will be made to Maroondah City Council, ABN 98 606 522 719Total GSTTotal taxable supplyCredit or Debit Card * Required American ExpressDiscoverMasterCardVisaJCBMaestro Card number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration date Security code (CVV) Cardholder name PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.