When posting your entries, please don’t use staples or paperclips on your printouts!

Your name____________________________________________________________________________________________________ Address State Please print clearly _______________________________________________________________________________________________________________________________ ________________________ ______________________________________________________________ Zip/ Postcode ________________________ Country ____________________________ Telephone __________________________________________________________________ ___________________________________ ________________________________________ ( H x W)

Don’t write on the back of your digital prints, instead, write on a label and stick that on the back. Please do not use bubble wrap, tissue, excessive tape or other elaborate forms of wrapping. Simply fold cardboard around the entry form as protection. Please find attached my check/money order for the amount of OR ___________________________________ Charge the total amount to my Visa ENTRY 2: Title of work Medium Dimensions

Email ____________________________________________________________________________ (So we can contact you if you win) ____________________________ Signature _______________________________________ Mastercard ______________________ ENTRY 3: Title of work Medium ________________________________________ Dimensions ___________________________________ ( H x W) ____________________________ Signature _______________________________________ made payable to Signature ___________________________________________________________________ Expiry Date ________________________________