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 ProgressYou 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: * Required Field * Must be a valid email. Password: * Required Field 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 Details Artist / Group Name:* * Required Field. Primary Contact Name:* * Required Field. ABN (if applicable): Mobile phone:* * Required Field.* Phone Number must be entered. Address:* * Required Field. E-mail:* * Required Field.* Please enter a valid e-mail address. 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: Exhibition Details Name of Exhibition: Exhibition Description (Provide a detailed description of the exhibition you wish to present):* * Required Field. 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):* * Required Field. Artwork Mockups (max 5 images)* Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Additional mockup image 2 Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Additional mockup image 3 Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Additional mockup image 4 Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Additional mockup image 5 Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Supporting Documents Please upload up to 3 images of your previous work (max 3) Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Additional image 2 Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Additional image 3 Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Please upload your CV* Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Terms and Conditions Click here to view the Terms and Conditions. Have you read and accepted the Terms and Conditions?* Yes Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image Save & Exit