If you are unable to edit the pdf downloadable Open Exhibition Application Form, please fill in this form. Application FormYour Payment Order Number:Full Name of Artist:Address:Contact Telephone Number:Email Address:Category: Young Persons (Ages 11 -17) Adults (18+) Would you consider yourself a professional or amateur artist? Professional Amateur Terms and conditions I have read and accept the conditions of the submission terms Signature of Artist (or parent/carer if entering in the Young Persons category):Date MM slash DD slash YYYY Inventory of SubmissionsIf chosen to exhibit, all pieces must be labelled on the reverse of the work as well as on a parcel label. On the Sale of your work in the Open Exhibition, all individuals registered with HMRC as self-employed are requested to provide your Unique Tax Reference (UTR) number. Your application provides Loughborough Town Hall with the undertaking that you agree to pay any tax and national insurance contribution arising from any sales.Artwork 1Title of work:Medium:Size in cm (h x w):Retail Price (Sock Gallery will subtract 30% commission from this price if the piece is sold):If 'Not for Sale', state insurance value:FileMax. file size: 100 MB. FileMax. file size: 100 MB. FileMax. file size: 100 MB. Artwork 2Title of work:Medium:Size in cm (h x w):Retail Price (Sock Gallery will subtract 30% commission from this price if the piece is sold):If 'Not for Sale', state insurance value:FileMax. file size: 100 MB. FileMax. file size: 100 MB. FileMax. file size: 100 MB. Artwork 3Title of work:Medium:Size in cm (h x w):Retail Price (Sock Gallery will subtract 30% commission from this price if the piece is sold):If 'Not for Sale', state insurance value:FileMax. file size: 100 MB. FileMax. file size: 100 MB. FileMax. file size: 100 MB.