Personal History : Please provide your personal history (inc. exhibitions, awards, etc.) on a separate sheet. 
□ Wire Transfer　
□ Check
□ Credit Card

If using a credit card, please provide your card information through one of the following three methods −
□ Fax

Please make sure to indicate your name clearly when making a payment.
How did you find out about the contest?

□ Newspaper, Magazine (Publication Name:                         )    
□ Bulletin Board (Board Name:                         )
□ Website (Site Name:                                     ) 
□ Referred by Another Gallery (Name of Gallery:                             )
□ Friends             □ Other (                                )