ENTRY FORM
Last Name
___________________ First _________________Middle__________________
Street
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City
_________________________________________ State _______ Zip ____________
Phone: Home
_________________ Work _____________________E-Mail______________
Entries
Title Media Size Price
#1
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#2
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#3
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#4
#5
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#6
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Please indicate which wall will
suite your work the best:
o 8 feet wall +
3 feet wall (building 710)
o 20 feet wall
(building 710)
o 14 feet wall
(building 705 – Hudson Valley theme only)
o any of above
Please
indicate which timeframe will suite your schedule the best:
o May – July
o August –
October
o November – January
o February –
April
o Any of above