Entry Form (Photocopy this form for additional entries)

Fraser Gallery - 2011 International Photography Competition

7700 Wisconsin Avenue, Suite E · Bethesda, Maryland 20814 · (301) 718-9651 · FraserGallery@hotmail.com

Deadline is 4 January 2011

Artist___________________________________________________________________________________________________

First Name Last Name

 

Street Address________________________________________________________________________________________________

 

 ________________________________________________________________________________________________________

City, State, Zip/Post Code, Country

 

Phone____________________________________________________________________

 

Email_____________________________________________________________________ 

ENTRIES

1. Title__________________________________________________________________________________________

Media______________________________Image Size ________________ Price (including frame) _______________

2. Title__________________________________________________________________________________________

Media______________________________Image Size ________________ Price (including frame) _______________

3. Title__________________________________________________________________________________________

Media______________________________Image Size ________________ Price (including frame) _______________

Agreement: Submission of any entry confirms agreement to conditions set forth in prospectus

Entry Labels (Attach to back of Accepted Entries Prior to Shipping)

ENTRY ONE

Artist Name:

Entry Title:

Size:

Media:

Price:

ENTRY TWO

Artist Name:

Entry Title:

Size:

Media:

Price:

ENTRY THREE

Artist Name:

Entry Title:

Size:

Media:

Price:

Entering this exhibition shall constitute understanding and agreement on the part of the artist with all the conditions stated in the prospectus. Send entry fee of $25, this printed and filled entry form, CD and a SASE (for notification) to arrive no later than 4 January 2011 to:

Fraser Gallery
2011 International Photography Competition
7700 Wisconsin Avenue, Suite E
Bethesda, MD 20814

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