
Last
name____________________________________
Complete all information except “Juror’s Decision”
First
name____________________________________
Attach to back upper right corner
of accepted work.
Address______________________________________
Artist________________________________________
City_______________________State____Zip________
#1 Title______________________________________
Phone______________Email_____________________
Image size (hxw)__________Price________________
#1
Title_______________________________________
Juror’s Decision: Accept_________Decline_________
Media_______________Size(hxw)________Price_____
#2 Title______________________________________
#2
Title_______________________________________
Image size (hxw)__________Price________________
Media_______________Size(hxw)________Price_____
Juror’s Decision: Accept_________Decline_________
#3
Title_______________________________________
#3 Title___ __________________________________
Media_______________Size(hxw)________Price_____
Image size (hxw)__________Price________________
I
hereby agree to the liability clause and to abide by all rules and
Juror’s Decision:
Accept_________Decline_________
stipulations
set forth in the MTWS Watermedia 2002 prospectus.
Artist’s Signature ________________________________
Thank you for your
entry!
mail to: