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2005 Christmas Photo Contest
Entry Form
Identify people in photograph, if more than one, be descriptive
(use details like left to right, front to back, i.e.)
________________________________________________________
________________________________________________________
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Submitter’s Name: ________________________________________
Submitter’s Address: _______________________________________
Submitter’s City/State/Zip: __________________________________
Submitter’s Telephone (Daytime)#: ____________________________
(Evening)#: ____________________________
(Cell)#: _______________________________
My relation to ____________ in the photograph is ______________
Date photograph was taken (approx.): __________________________
Location photo was taken: __________________________________
Age of people in photograph: ________________________________
Age of people now: ________________________________________
Suggested title of photo (optional):_____________________________
Who shot the photo (if not you):______________________________
Tell us anything else important:
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Deadline for submission of photos
is Thursday, December 8, at 5 p.m.
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