ENTRY FORM
2009 Section 62 PHOTOGRAPHY CONTEST

Please type or print legibly                                      EXHIBITOR NUMBER: ____________
                                       (To be assigned by Photo Committee at photo registration)

NAME: _______________________________________________________

ADDRESS: ___________________________________________

CITY: ______________________________  STATE/PROV: _____  ZIP/POST CODE: _________

PHONE: _________________________

E-MAIL: ____________________________________

Image Titles   Put title of each print entered, below

   CLASS:
     320:  1. ___________________________________    2. _________________________________________

     321:  1. ___________________________________    2. _________________________________________

     322:  1. ___________________________________    2. _________________________________________

     323:  1. ___________________________________    2. _________________________________________

     324:  1. ___________________________________    2. _________________________________________

     325:  1. ___________________________________    2. _________________________________________

     326:  1. ___________________________________    2. _________________________________________


I am entering the above prints for the 2009 ADS Convention PHOTOGRAPHY COMPETITION.
The images submitted are my own work, and I have read the competition rules and I will
comply with the rules as stated.



Signature: __________________________________                       Date:  _______________