Required fields are marked with an asterisk (*).

Your details

Name *

Address *

Contact phone *

Email *

I live in Eurobodalla *

• Yes
• No

I live in regional Australia *

• Yes
• No

Additional information

I am (tick all that apply):

• Aboriginal or Torres Strait Islander
• culturally and/or linguistically diverse
• an artist with a disability
• a young person aged 18-25

Artwork details

Artist statement: * Describe your current art practice.

Upload your entry * Maximum file size: 3MB
Your file file must be titled in this format:
artist_name_title_medium_year_size

Title: *

Medium: *

Size: * Maximum size: 180cm x 180cm

Price: *

Artwork statement: *

Payment

Pay your $50 entry fee via PayPal. A new window will open, please do not close this page. After payment, return to this page to complete your entry. *

Pay now via PayPal

• Check this box once you have paid the entry fee*

Receipt details * Please enter your PayPal receipt number.

Confirmation

I have (required): *

• confirmed my details are correct*
• read the Terms and Conditions*

Are you going to submit another entry to the Basil Sellers Art Prize? *

• Yes
• No