ASA 62nd Annual Exhibition Guest Artist Form

Email

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Contact Details

Name(Required)

First Last

Email(Required)

Phone

Mobile

Address

Street Address Address Line 2 City ZIP / Postal Code

GST No.

Bank Account Details

Artworks

Name of Artwork

Medium

Price

Name of Artwork

Medium

Price

Name of Artwork

Medium

Price

Name of Artwork

Medium

Price

Name of Artwork

Medium

Price

Name of Artwork

Medium

Price

Name of Artwork

Medium

Price

Name of Artwork

Medium

Price

Name of Artwork

Medium

Price

Name of Artwork

Medium

Price

Opening Night Tickets

Number of extra Opening Night tickets

(over and above your complimentary tickets) Tickets are $30 each. Opening Night is 6 July, 2026

Total amount to pay

Payment method

Please indicate you have paid your entry fees

Paid into the Ashburton Society of Arts bank account 03-1354-0424470-00 with your name and exhibition entry as the reference