30:30 Vision Entry Form 2024Artist DetailsName* First Last Address* Street Address City State Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*Email* I am a MAANZ Member* Yes NoNumber of Entries 1 or 2You can enter a maximum of 2 works1 or 2*1 Entry2 EntriesEntry 1 - Title of work*Year Made*Materials*For materials please provide as much detail as possible. For example glass should be identified as vitreous glass, leadlight glass, etc. Avoid terms such as mixed media. Information on substrate and adhesive is not requiredSize in cmsHeight*Please enter a number from 30 to 30.Width*Please enter a number from 30 to 30.Depth*Please enter a number from 1 to 8.Weight Kgs*Please enter a number less than or equal to 5.Sale Price*Include 33% commissionArtist Statement - (600 characters, 100 words)*What inspired you, why you chose the subject, etc. See info sheet on artists’ statementsEntry 2 - Title of work*Year Made*Materials*For materials please provide as much detail as possible. For example glass should be identified as vitreous glass, leadlight glass, etc. Avoid terms such as mixed media. Information on substrate and adhesive is not requiredSize in cmsHeight*Please enter a number from 30 to 30.Width*Please enter a number from 30 to 30.Depth*Please enter a number less than or equal to 8.Weight Kgs*Please enter a number less than or equal to 5.Sale Price*Include 33% commissionArtist Statement - (600 characters, 100 words)*What inspired you, why you chose the subject, etc. See info sheet on artists’ statementsNumber of images:You may supply a maximum of two (2) images with each entry. Please refer to your downloaded 30:30 Vision Exhibition Info Sheet (see https://maanz.org/exhibitions). The image/s of the completed work must be sent to the Exhibition Co-ordinator, exhibitions.maanz@gmail.com.Entry FeeNon Member Payment 1 Entry 2 EntriesMAANZ Member 1 Entry 2 EntriesTotal $ 0.00 Artist's Declaration• I have read the terms and conditions as stated on the Exhibition Entry Information Sheet and agree to abide by them.• I declare that the information provided by me, including the Australian Taxation Declaration, is true and correct.• I declare that the artwork/s submitted by me are MY OWN ORIGINAL WORK and DESIGN and have not been previously exhibited at a MAANZ exhibition. I understand that MAANZ will remove my work from the exhibition if it is found to be in breach of copyright.• I acknowledge that MAANZ has collected personal information (as defined in the Privacy Act 1988) and agree to allow MAANZ to use this information for the purposes of conducting an art exhibition. I am able to gain access to this personal information by providing MAANZ with a written request.• I agree to allow MAANZ to photograph and reproduce submitted artwork/s by print or electronic media for the purposes of advertising, promotion and fundraising.Enter your name below to indicate that you have read, understood and agree to the statement above.*AUSTRALIAN TAXATION DECLARATIONMAANZ is not registered to collect GST. Therefore, as an artist, if you are registered for GST, please include GST in your sale price. MAANZ will pay you the relevant amount of GST along with any money owing to you from sales of works. It is your obligation to pay any amounts due to the Australian Tax OfficeAre you registered for GST?* Yes NoDo you have an ABN?* Yes NoPlease quote your ABN numberAs ABN is not applicable, complete the following:The supply I provide to MAANZ (please select the appropriate box below) is either wholly of a private or domestic nature is the property of a non-resident who is not involved in an enterprise in Australia is exempt from income tax relates to a hobby/enthusiast
