PHOTO/SLIDE CONTEST ENTRY FORM

Entry Number __________

Name __________________________________________

NKPHTS Member Number ____________

Home Address ___________________________________

                         ___________________________________

Type of Entry ) Pre-merger, Post-merger, etc. ______________________________

Color Slide     _____

B&W Photo    _____

Color Photo    _____








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(PLACE PHOTO BOTTOM EDGE ALONG THE LINE BELOW)
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Type of Entry     _________________

Type of Photo     _________________

Title of Photo     _________________

Description, Location, etc. ________________________________________________________

______________________________________________________________________________

______________________________________________________________________________


Entry Number _____________ (STAFF USE ONLY. DO NOT WRITE HERE.)