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0 <br />.aa" ~^o <br />o` <br />v s~ <br />.~o b Cap°~~~~ <br />~~ <br />~~j•etir~e <br />~A iu~ty <br />A0~ <br />B D NCS <br />Name <br />City <br />Phone <br />"HISTORIC ORANGE" PHOTOGRAPHY COMPETITION <br />MAY 2007 <br />Historic Preservation Month in Orange County, NC <br />ENTRY FORM <br />State Zip <br />(eve) <br />Please check level: Junior Amateur Professional <br />Payment Information <br />Check or Money Order payable to: Orange County Historical Museum <br />Category Description $Amount <br />1.35mm or x $5 <br />Di 'tal <br />2.35mm or x $5 <br />Di 'tal <br />1. Enhanced x $5 <br />Di 'tal <br />2. Enhanced x $5 <br />Di 'tal <br /> Total Enclosed XXX <br />1. All entries must be received by Sunday, May 6t", 2007 at the Orange County Historical <br />Museum, 201 North Churton Street [near Tryon Street intersection], Hillsborough, NC. <br />2. Only two [2] entries per person. <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. All images will be on display through the month of May, and maybe retrieved from the <br />Museum during business hours. Photographs MUST be picked up by June 17tTt, or will become <br />the property of the Museum. <br />6. Orange County officials and sponsoring entities cannot be held responsible for loss or damage <br />of 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 />