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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