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<br />9t~n4i ¢.y''~ PH~TaGRAPHY COMPETITION MAY 20 ~ 1 <br />~. <br />it ~z <br />~6r+h 6~tn~i°s <br />~I~T~RIC A.RC~[IT~CT~ITR.~L ]~~T.A-.IZ~ <br />~~~~~~3G . Hx5T4RxC PRESERVATION MONTH IN ORANGE BOUNTY NC <br />r~i7J-ffl17 7 <br />i,, ... <br />r <br />ENTRY FORM <br />~ ~ <br />Name <br />Address--------~_~.._~...~..~_..---------------------------.~____~.__.~_.~.~.~___._._____~..~.~.~.~.~.~._..~._~...~_..~.~_ <br />. <br />aty.~.~_~.~_~._~..~.~_ tale----___.--~- dip-------------- <br />Emait Tel. ___.~.~...____._.~.___~.______T___.~.~~.___~y/eve <br />Pease check Division: __- ~unzor ___ Amateur <br />Only two [2] entries per person. <br />Category: czrcle Description $~4.mount <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 /> 1"otal Enclosed -~ XX <br /> Please cantact Dareie at the Museurr~ to request wafer of fee. <br />1. Payment: Make Check or Money Order payable to: Historical Foundation of Hillsborough and <br />grange Caunty, <br />All entries must be received at the Orange County Historical Museum, 2~1 North Churton Street <br />[Cryon Street intersectian~, by 4 pm, Saturday, April 34, 211 or the DEAPR office, 3D6 Revere <br />Road, Hillsborough, by 5 pm Friday, April 29, 2011. <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 15~~, or will become the <br />property of the Museum. Al[ entries will be on display throughout May 2011. <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 />1 have read and understood the photographic criteria and entry guidelines for this competition. <br />Signature~_____,~~~.~..__.~___.~~._.~.~.~___~..~_.~_.~.~___.~.~__.~___.~_~.__ Da~e__ <br />