Stand and Deliver

Entry Form

All entries must be postmarked by November 17, 2003

Mail to:  Stand and Deliver, PO Box 624, Mt Vernon NY 10552-0624

 

Artist  _____________________________

Press _____________________________

Address ___________________________

City _____________ State _____ Zip ______

Country ____________ Postal Code ________

Phone 1_______________________   

          2 _______________________

E-mail ________________________

Web site _______________________

 

For office use only:

Date received ________ Entry number _______

Check No. ___________ Amount _________

 

Entry 1

Title  _____________________ Year _____

Size (h x w): ___________

Copy # __ of __ copies

Number of slides _____

Insurance Value ______

Description:

 

 

 

 

Description:(For Each Book Submitted, Please provide one sentence describing the content of the book, one sentence describing the construction and materials used, and one sentence describing the relevance to the theme, “Stand and Deliver.”)

 

Entry 2

Title  _____________________ Year _____

Size (h x w): ___________

Copy # __ of __ copies

Number of slides _____

Insurance Value ______

Description:

 

 

 

Entry 3

Title  _____________________ Year _____

Size (h x w): ___________

Copy # __ of __ copies

Number of slides _____

Insurance Value ______

Description: