WORLD IN FOCUS PHOTO CONTEST
REQUIRED ENTRY FORM

Name______________________________________________________
Address____________________________________________________
City___________State/Prov*_________Zip / Postal Code_____________
Phone (_______)_____________________________________________
E-mail address_______________________________________________
Web site address_____________________________________________
* Residents of the United States and Canada only.

Submissions: Entry fee: US$35 for up to three
images, and US$15 for each
additional image (no limit).

Deadline for all entries is March 11th, 2003. Entry fees help cover the exhibit's
administrative costs and are nonrefundable and non-tax-deductible.

Payment: Submissions must include your Visa or MasterCard information,
or check or money order, in U.S. currency, made payable to World in Focus.
Returned checks are subject to a US$30 fee.

The images (see entry categories under "Contest Rules"):
 

1. Title:________________________________ Category:_____________________
2. Title:________________________________ Category:_____________________
3. Title:________________________________ Category:_____________________
4. Title:________________________________ Category:_____________________
5. Title:________________________________ Category:_____________________
6. Title:________________________________ Category:_____________________
7. Title:________________________________ Category:_____________________
8. Title:________________________________ Category:_____________________
9. Title:________________________________ Category:_____________________
10. Title:________________________________ Category:_____________________
11. Title:________________________________ Category:_____________________
12. Title:________________________________ Category:_____________________
13. Title:________________________________ Category:_____________________
14. Title:________________________________ Category:_____________________
15. Title:________________________________ Category:_____________________

(Please copy form, fill out and attach if you have more than 15 entries.)
 
Total # of images enclosed:__________Total amount enclosed: US$_______________
Payment (please check one and provide numbers as applicable):
Credit Card_____Visa_____MasterCard
Credit Card #_____________________________________Exp. Date_____________
____Check # __________or____Money Order
 
HOW DID YOU HEAR ABOUT US?________________________________________
 
SEND ALL ENTRY MATERIALS TO:
World in Focus - Entries
19019 Corliss Avenue North
Seattle, WA 98133