Name ___________________________________________________________________

Address _________________________________________________________________

City ______________________________ State ________ Zip __________

Telephone _______________________________________

E-Mail Address ___________________________________________________________

Division Entered:
Amateur _______ Proficient Amateur _______
Category Entered:
Color _____ Monochrome ______

Entry Title ______________________________________________________________
Sale Price or NFS ___________

___ Will pick up at the Renaissance Center Gallery
___ Private carrier return

I understand this is a juried salon and all photographs may not be shown. Even though I am entering the competition, my work may not be chosen for exhibit. I will not hold the Salon host responsible for damage or loss of an entry.

Signature ___________________________________________________________

Date _________________________

Appalachian Photography Salon Entry Form
$5.00 Entry Fee For Each Photograph

Name ___________________________________________________________________

Address _________________________________________________________________

City ______________________________ State ________ Zip __________

Telephone _______________________________________

E-Mail Address ___________________________________________________________

Division Entered:
Amateur _______ Proficient Amateur _______
Category Entered:
Color _____ Monochrome ______

Entry Title ______________________________________________________________
Sale Price or NFS ___________

___ Will pick up at the Renaissance Center Gallery
___ Private carrier return

I understand this is a juried salon and all photographs may not be shown. Even though I am entering the competition, my work may not be chosen for exhibit. I will not hold the Salon host responsible for damage or loss of an entry.

Signature ___________________________________________________________

Date _________________________

Appalachian Photography Salon Entry Form
$5.00 Entry Fee For Each Photograph

Name ___________________________________________________________________

Address _________________________________________________________________

City ______________________________ State ________ Zip __________

Telephone _______________________________________

E-Mail Address ___________________________________________________________

Division Entered:
Amateur _______ Proficient Amateur _______
Category Entered:
Color _____ Monochrome ______

Entry Title ______________________________________________________________
Sale Price or NFS ___________

___ Will pick up at the Renaissance Center Gallery
___ Private carrier return

I understand this is a juried salon and all photographs may not be shown. Even though I am entering the competition, my work may not be chosen for exhibit. I will not hold the Salon host responsible for damage or loss of an entry.

Signature ___________________________________________________________

Date _________________________

Appalachian Photography Salon Entry Form
$5.00 Entry Fee For Each Photograph

Name ___________________________________________________________________

Address _________________________________________________________________

City ______________________________ State ________ Zip __________

Telephone _______________________________________

E-Mail Address ___________________________________________________________

Division Entered:
Amateur _______ Proficient Amateur _______
Category Entered:
Color _____ Monochrome ______

Entry Title ______________________________________________________________
Sale Price or NFS ___________

___ Will pick up at the Renaissance Center Gallery
___ Private carrier return

I understand this is a juried salon and all photographs may not be shown. Even though I am entering the competition, my work may not be chosen for exhibit. I will not hold the Salon host responsible for damage or loss of an entry.

Signature ___________________________________________________________

Date _________________________