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Juxtaposed ART PRIZE 2025 Artist Application

Step 1 of 6

Your Details

Step 2 of 6

Artwork Details

Step 3 of 6

Experience and Selling Details

Are you a student?
Are you over 60?
Step 4 of 6

Summary

Your first name and surname :

Email :

Your postcode :

Phone number :

Gender :

Equalities and Diversity :

Which category are you entering? :

Artwork Title :

Artist name :

Medium :

Accession number CCM. :

Art experience :

Work for sale, please enter the amount ( there is a 30% commission charge) if NOT for sale please indicate Insurance Value of artwork. :

Application Fee : £

Step 5 of 6

Credit or Debit Card Billing Address

Step 6 of 6

Payment Details

Your first name and surname :

Address :

Fee Type :

Application Fee : £

Please Note! You will now be redirected to ConnectPay Verification website to pay your fee

Merthyr Tydfil County Borough Council is committed to upholding your privacy rights. We will only use your personal information for lawful purposes. If you would like to find out more about how we use your personal information please read our privacy notices which are available on our website. If you have any concerns or would like to know more about data protection compliance please contact our Data Protection officer on 01685 725000 or data.protection@merthyr.gov.uk 

Amount to Pay

£0.00

  • mastercard
  • visa
Completed

Thank you

Your reference number is

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