Online Form - Lightbox Gallery Exhibition Opportunity

Use this form to register your interest in an exhibition opportunity in the Post Office Lane Lightbox Gallery.

Save Your Progress

You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Email Address:

Password:

There is no way to resend or recover your password, please write it down.

Note: Incomplete forms are kept for a period of 2 day(s) , after this time the system will automatically delete your response.

Artist / Group Name: *

Primary Contact Name: *

ABN (if applicable):

Mobile phone: *

Address: *

E-mail: *

Website (if applicable):

Are you a resident of the Midwest Region? *

YesNo

Age Group *

Under 18*18 years and over

*If under 18:

I provide consent for my child to apply for this exhibition opportunity.

Parent Name:

Name of Exhibition:

Exhibition Description (Provide a detailed description of the exhibition you wish to present): *

New or existing work? *

I wish to develop new artwork for this exhibitionI will display an existing body of work in this exhibition

Predominant Medium (i.e photography, digital artwork, watercolour etc): *

Artwork Mockups (max 5 images) *