Entry Form

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Entry Form must be filled out completely.    In addition to filling out the form, please send a long self-addressed stamped envelope with adequate postage and the Entry fee of $20.00, payable to  F.S.U. Rosenthal Gallery.   Prospectus may be duplicated.

Must be received by December 14, 2004.
Instructions for submitting at the bottom of the form.

Name
Address 
City          
State      
Zip         
Phone      
E-mail 
No 1 Title
Medium  
Image Size
Frame Size
Available
for Purchase 
Price or
(NFS insurance value)
No 2 Title
Medium       
Image Size
Frame Size
Available 
for Purchase 
Price or
(NFS insurance value)
No 3 Title
Medium 
Image Size
Frame Size 
Available 
for Purchase 
Price or
(NFS insurance value)

 

After submitting the form, please proceed to Identification Label and Notification Card

 

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Page last revised 09.29.04
Webmaster