The Artist Magazine 30th Annual Art Competition Entry Form

Please print this form and mail in with CD. The Artist Magazine 30th Annual Art Competition Early Bird Deadline: April 1, 2013 You may submit as many entries as you like, but entries in each category must be grouped separately. Please accept my work for consideration in The Artist Magazine 30th Annual Art Competition. I certify that my entry is original, unpublished, conceived and created entirely by me. I've read and fully understand the rules of the competition, and agree to allow The Artist Magazine to publish, republish, and repurpose my artwork in both print and digital formats, including, but not limited to magazines, promotional materials, websites, databases and as part of downloadable digital. To ensure your eligibility, you must fill out this form completely and accurately. Signature____________________________________________________ Name_______________________________________________________ Address_____________________________________________________ City_____________________________State________Zip_____________ Country_____________________________________________________ Daytime Phone ( ) __________________________________________ E-mail ______________________________________________________ Categories: I am entering my artwork in the following categories: (Important: please indicate number of images in each category) _____ # images in the Abstract/Experimental Category _____ # images in the Animal/Wildlife Category _____ # images in the Landscape/Interior Category _____ # images in the Portrait/Figure Category _____ # images in the Still Life/Floral Category [ ] Please enter the above images in the Student/Beginner division. (Include "Student" after the category name on the CD.) Entry Fees Early Bird Entry fees per image: ____$25 ____ $15 student / beginner After April 1 Entry fees per image: ____$30 ____ $20 student / beginner I am submitting a total of __________images at _____ per image. Total enclosed (U.S. funds) $__________ Method of Payment: [ ] Check/money order enclosed (U.S. funds drawn on a U.S. bank; payable to The Artist Magazine) Charge my: [ ] MasterCard [ ] Visa [ ] Amex Card Number______________________________________ Signature_________________________________________ Exp. Date____________________________ Mail completed entry form, CD and jury fee to: The Artist Magazine's Annual Art Competition 8469 Blue Ash Road, Suite 100 Cincinnati, OH 45236