Exhibiting Artist Information Form 

Please complete the following information. If you have any questions or would like to update any of your information please contact Clare Stroud on 08 9295 3991 or email cstroud@mundaringartscentre.com.au > 

CONTACT DETAILS
Name *
Name
Address *
Address
http://
http://
TAXATION DETAILS
Australian Business Number (ABN) *
GST Status *
If checked yes to indicate that you are registered for GST, please check the box below once you have read and acknowledge the following written agreement:
PAYMENT DETAILS
Preferred Method of Payment *
Bank:
BSB:
Account Number:
Account Name:
GALLERY REPRESENTATION DETAILS
If you have contractual representation with a gallery, please provide details in this section
Gallery Contact Name
Gallery Contact Name
ARTISTIC DETAILS
Artwork Details *
A complete list of works must be submitted to Mundaring Arts Centre NO LATER THAN 2 WEEKS PRIOR to the exhibition opening date. Please use the following headings: Title, Date, Medium/ Technique, Wholesale Price/ Artist Price. PLEASE NOTE: Mundaring Arts Centre will deduct their commission of 35% from the Retail price (or as per contractual agreement in the case of a representative Gallery). To work out the Retail price, please divide your artist/ wholesale price by 0.65.
Artwork Images *
A selection of digital images of exhibition artwork/s must be submitted to Mundaring Arts Centre NO LATER THAN 6 WEEKS PRIOR to the exhibition opening date for usage on promotional material.
Agreement