Wrexham Open Submission

Family name /s (required)

Given name /s (required)

Address (required)

Postcode (required)

Country

Telephone number (required)

Your email (required)

Personal reference used for BACS payment (required)

Are you in receipt of universal or pension credit? (required)
Please note: proof will be required when depositing work at Undegun.
---yesno

Category of entry (required)

---Professional,Amateur,Young Person (15-25),Print

Type of work (required)

---PaintingPhotographyFilmInstallationApplied ArtsPrintPerformanceOther (please give details)

Other
Details from above

Details/Materials/Format used (required)

Size of work (if applicable)

Duration of work (if applicable)

Details of support required, if available
Plinth, screen, projector, lighting, sound equipment, staging etc

Other information

I enter Wrexham Open 2017 and I agree to the terms and conditions and to pay the fee in pounds sterling (GBP) as detailed.

I agree