Photo Contest Entry Form

All entries become the property of Quisqualis. Please supply as much information as you can, and please print. The more accurate your information the better we can give credit for your work. Please use one page per entry.

Name: ________________________________________

Email: ________________________________________

Address: ________________________________________

Address: ________________________________________

Telephone: ________________________________________

City/State: ________________________________________

Country/Zip code: ________________________________________

Photo Number_____

Name of Subject: ________________________________________

Other Names, if known: ________________________________________

Check all that apply: Tree____ Flower____ Fruit____ Seeds____

Location of Subject: ________________________________________

Date Taken: ________________________________________

Other Photo Information: ________________________________________

________________________________________

________________________________________

________________________________________

Type of Entry: Print__ Size of print___x___ Slide__ Negative__ Digital File__

Signature of Photographer: ________________________________________

Entries sent electronically will be accepted as signed.

* Recognizing the need for researchers to use their own photos (and the difficulty in producing them) we will assign back to the photographer reproduction rights (electronic and print) on their request.


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Page posted 08/06/2002

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