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International Photography Contest Entry Form International Studies Program,
IPFW |
Please PRINT your responses. In order for submissions to be considered,
this form must be submitted in paper copy to Professor Nancy Virtue, CM 267,
Department of International Language and Culture Studies, IPFW,
All communication about the contest
will be done by email notification.
Name of Entrant:
__________________________________________________________________
(Last/Family Name) (First
Name) (Middle
Name)
Mailing Address:
___________________________________________________________________
(Number & Street) (City,
State, Zip code)
E-mail Address:
___________________________________________________________________
Phone Number:
_(____________)_____________________________________________________
Affiliation with IPFW: (please
circle one)
Student Faculty Staff
Number of entries (no more than 6):
___________________________
Title(s) of Work(s): Where
taken: When taken: Which category*:
1)__________________________________________________________________
2)__________________________________________________________________
3)__________________________________________________________________
4)__________________________________________________________________
5)__________________________________________________________________
6)__________________________________________________________________
I heard about this photography contest from _______________________________
*Categories: a) favorite
cultural interaction; b) most picturesque or unusual; c) mastodons abroad.
In signing this entry form, I affirm that the above
information is complete and accurate, that the entries are my own work, and
that I have read, understand, and am complying with all conditions and rules of the
competition.
Signature: _________________________________ Date: ___________________,
2007