14th Annual Skylands Scenic Beauty Photo Contest

REGISTRATION FORM – DETACH & BRING WITH PHOTO. PRINT CLEARLY & SIGN WHERE INDICATED.

_______________________________________________      ________________________________ _________________________ Name                                                                                                             Address

______________________________________________    ________________    _______________        ___________       Phone                                                                                                     City,                                 State,                                Zip Code

 Category___________________________________

 Complete identification must be included on the back of the photo also. ALL DECISIONS OF JUDGES ARE FINAL

 ____________________________________/______________________________________________________                                       Title                                                                                                                     Location

  One submission per photographer.

 _____________________________________/___________________                                                                             Signature                                                                         Date 

 The photograph was taken by me and I give consent for reproductions to be made for publicity purposes.