Arts Mildura - Mildura Wentworth Arts Festival Application Form

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Thank you for your interest in participating in the Mildura Wentworth Arts Festival..
Please provide us with the following information.

	*Denotes required fields
Group / Artist Name:*
How many in your group:*
Which category applies:*
Other Category Specified:
Where is your group based:*
Contact Name:*
Telephone:*
Mobile:
Email Address:*
Website:
Requested Fee:

Please select if you are willing and able to run:
Workshops	Yes No
Master Classes	Yes No
School Visits	Yes No

Have you applied for funding to support your project?	Yes No
When is the outcome known?
Do you intend to apply for funding to support your project?	Yes No
When is the outcome known?

Description of Work (250 word Max.):*

Biography (250 word Max.):*

In addition please send a high quality demo or portfolio to: Mildura Wentworth Arts Festival PO Box 1982 Mildura Victoria 3502

Would you like to receive updates about upcoming events?	Yes No

Privacy
We will only use personal information provided by you for the purposes for which
it was collected. We will not disclose your personal information to a third party.