radius250 2009 Postmark Deadline: May 15, 2009

Entry Form 2009 (Please type or print legibly)

Name ___________________________________ Phone ________________ E-mail _______________________________

 

Address ____________________________________________ City ___________________ State _____ Zip ___________

TITLE PROCESS/MEDIUM FRAMED SIZE PRICE

1. _________________________________________________________________________________________________

 

2. _________________________________________________________________________________________________

 

3. _________________________________________________________________________________________________

 

4. _________________________________________________________________________________________________

 

5. _________________________________________________________________________________________________

Submitting entries and work construes acceptance of conditions of prospectus. Please sign and date entry form.

Signature __________________________________________ Date ___________ Gallery Use Only: Check No. ________

How did you hear about this competition? __________________________________________________________________