the 31st national biennial glass conference 20th 22nd oct wanganui 2012 Please complete and send with registration fees. Name(s) (Include both names if registering two people)
registration form
register now!
send to nzsag po. box 68805 newton, auckland 1145 new zealand
Address Post code Email Phone
Please complete if interested in entering the Exhibition Silent Auction. One entry per person only.
exhibition form
Member Category
Student Category
Title of Artwork Medium Process Dimensions (mm) Height Width
Depth
Reserve Price (including 30% Commission & GST if registered) $ Are you GST registered? GST Number
Yes
need a hand?
No
Artist 70% + NZSAG 30% = Sub Total + GST 15% (if reg) = Total Selling Price
Before 31st August 2012 Early Bird Registration
payment form
Members (per individual) Full time Students (id required) Non Members
$170 $110 $200
$ $ $
After 31st August 2012 Members (per individual) Full time Students (id required) Non Members
$200 $140 $230
$ $ $
REGISTRATION SUBTOTAL
$
BBQ Lunch $15 (at Chronicle Glass 22nd October)
$
Membership fees
$
Only if new member and membership form completed or if you have received overdue notice and wish to pay now. GRAND TOTAL AMOUNT ENCLOSED
$
DELIVERY & COLLECTION Delivery of artworks is by courier or in person. Artworks must be well packed, poor packaging may result in refusal. Delivery date between 15th and 17th of October. ENSURE YOUR WORK IS PACKED ADEQUATELY. Do not use loose material such as polystyrene peanuts. Please ensure that any prepaid courier ticket and a copy of entry form is inside parcel of the delivered work. Send works to: Community Arts Centre 19 Taupo Quay Wanganui 4500 Unless being returned by courier all works must be collected by 28th October.
Please post this form and payment to NZSAG or scan and email to subs@nzsag.co.nz FOR DIRECT DEPOSIT: Bank details are as follows. Please put first four letters of surname and first four letters of first name in the reference or particulars fields. Bank: ASB 592 Great North Road Grey Lynn Auckland 1021 Account Number: 12 3012 0801757 00 Swift Code: ASBBNZ 2A For any enquiries regarding the conference, please email Francia Smeets at subs@nzsag.co.nz