Dickens 150 application PLEASE EMAIL YOUR IMAGE TO: arts@medway.gov.uk (include your name) THEN COMPLETE THE FOLLOWING INFORMATION FOR EACH PRINT SUBMITTED (max 4 entries per person) Your Name Your Email Telephone No. Address Are you under 21? YesNo Which category/or categories do you wish to enter A new cover for ‘The Mystery of Edwin Drood’Death in Dickens life & novelsDickens and the Victorian way of deathDickens and Medway Title of your print Print medium (ie. etching, linocut) Any additional information you would like to share about the print if not obvious from title this could include the novel, place, character, custom or event that inspired the work Approx framed dimensions in cm If you would be interested in delivering a paid printmaking workshop for the exhibition or print festival provide basic details here How did you hear about this Open Call? By clicking send you confirm you have read and understood the Terms & Conditions supplied for participating in the Rochester Art Gallery Print Open Call for Dickens 150. The closing date for online entries is Fri 31 January 2020