MANSFIELD BARN PHOTOGRAPHY CONTEST — ENTRY FORM

Please print form, complete all sections, fold around photo, and attach with paper clip (4 maximum per entrant).

Your full name:
Mailing address:
City & state:		Zip code:
Phone number:		E-mail:
Barn address:
Photo Category (check one):     Traditional     Artistic
Division:     Child to age 12     Youth 13-18     Adult - Amateur     Adult - Professional
Please check any that apply:
A labeled CD-ROM with digital files is enclosed. (Use appropriate padded media mailer.) I am donating this print to the Mansfield Historical Society's archives.
Your signature:		Date:

cut here for multiple entries

MANSFIELD BARN PHOTOGRAPHY CONTEST — ENTRY FORM

Please print form, complete all sections, fold around photo, and attach with paper clip (4 maximum per entrant).

Your full name:
Mailing address:
City & state:		Zip code:
Phone number:		E-mail:
Barn address:
Photo Category (check one):     Traditional     Artistic
Division:     Child to age 12     Youth 13-18     Adult - Amateur     Adult - Professional
Please check any that apply:
A labeled CD-ROM with digital files is enclosed. (Use appropriate padded media mailer.) I am donating this print to the Mansfield Historical Society's archives.
Your signature:		Date: