All entries must be accompanied by this completed form.

This form can be completed on-line and submitted directly to Australian Coalition '99.

IMPORTANT: Artwork needs to be emailed separately to Australian Coalition '99 at ac99nat@cota.org.au. Please remember to add your name to the entry.

Alternatively, this entry form must be printed off and completed as hard copy, and sent by mail to
"Towards a New Age In Creativity"
Australian Coalition '99
Level 2, 3 Bowen Crescent
MELBOURNE VIC 3004

Artwork must accompany the entry form by mail.

Personal details

Entrants Name/s:
Agency Name:
Title of Entry:
Address:
Telephone number:
Email:

Rationale behind creative concept