radius250 2011  Postmark Deadline:  Early - April 1, 2011    Standard - April 15, 2011
Entry Form - 2011 (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? __________________________________________________________________