4TH OF JULY PHOTOGRAPHY CONTEST

ENTRY FORM

(Please PRINT all information clearly.)

(Check One)

____ Adult (16 & older)                                 ____Youth (8 – 15)

Name

Address

City

  1. State                                                           Zip

Phone Number

LIST PHOTOS BEING ENTERED BELOW

Total number of entries: ________________ (Max. of 4)

Entry Fee: $3.00 for 1st photo and $1.00 for each Add’l Photo (Limit 4 per person)

Category:                                                                                            Title: (optional)

#1.___________________________________________________

#2.___________________________________________________

#3.___________________________________________________

#4.___________________________________________________