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6 <br />°` PHOTOGRAPHY COMPETITION MAY 2010 <br />"""'~~ HIl3TOBIC COMMERCIAL BVILDI1~6~8 <br />HISTORIC PRESERVATION MONTH IN ORANGE COUNTY, NC. <br />A ~ `~ ENTRY FORM <br />~aD Svcs <br />Name <br />Address <br />--------------------------------------------------------------------------------- <br />City------------------------------------------------- State--------- Zip--------------- <br />___________day/eve <br />Email--------------------------------------- Tel:--------------------- <br />Please check Division: __- Junior ____Amateur <br />Only two [2] entries per person. <br />Category: circle Description $Amount <br />1. Film [e.g. 35mm] x$5 <br />Digital <br />Enhanced <br />Digital <br />2. Film [e.g. 35mm] x$5 <br />Digital <br />Enhanced <br />Digital <br /> Tota/ Enc%sed -> XX <br /> P/ease contact Darcie at the Museum to request waiver of fee. <br />1. Payment: Make Check or Money Order payable to: Historica/Foundation of Hi//sborough and <br />Orange County. <br />All entries must be received at the Orange County Historical Museum, 201 North Churton Street <br />[Tryon Street intersection], or the ERCD Office, 306 Revere Road, Hillsborough, by 4 pm Friday, <br />April 30"', 2010. <br />3. Please label each entry with atitle/description, your name and contact information. <br />4. Entries must be accompanied by a completed entry form. <br />5. Photographs MUST be retrieved from the Historical Museum by June 15t", or will become the <br />property of the Museum. All entries will be on display throughout May 2010. <br />6. Orange County officials and sponsoring entities cannot be held responsible for loss or damage of <br />any entry before, during or after this competition. <br />7. Please see brochure for eligibility requirements and other rules and regulations. <br />I have read and understood the photographic criteria and entry guidelines for this competition. <br />Date <br />