SAMPLE  ENTRY FORM           PJ Quarterly Competition
There are Two SECTIONS:              Closing Date: 
Section A: Limited Experience: Less Than Two Stars
Section B: Color Advanced: Two Stars and above    
  
Please read the Entry Rules  before filling out this form.
Please review the Instructions at the bottom of this form.

Required Fields are marked with an *
36 Characters maximum
  T1* Family Name (Surname)
  T2* Given Name
  T3 Honors
  T4* Address 1
  T5 Address 2
  T6* City
  T7* State / Province
  T8* Zip / Postal Code
  T9* Country
T10* E-mail address
T11 PSA Membership Number
T12 COMMENTS / Special Instructions
T13 Section A: Image #1 Filename: See instructions Below
T14 Section A: Image #1 TITLE
T15 Section A: Image #2 Filename
T16 Section A: Image #2 TITLE
T17 Section A: Image #3 Filename
T18 Section A: Image #3 TITLE
T19 Section A: Image #4 Filename
T20 Section A: Image #4 TITLE
T21 Section B: Image #1 Filename
T22 Section B: Image #1 TITLE
T23 Section B: Image #2 Filename
T24 Section B: Image #2 TITLE
T25 Section B: Image #3 Filename
T26 Section B: Image #3 TITLE
T27 Section B: Image #4 Filename
T28 Section B: Image #4 TITLE

INSTRUCTIONS:   To Start, Click inside Field Window T1.  Use "Tab" Key to advance to next Field.
Please use the "Submit" button at the bottom of the page after completing the form.

Since there are two possible Sections, please insert the appropriate letter A, B, in the Image Filename as shown below:
Use the following Format for your Image Filename:  surname-x-####-yz.jpg
Where x is the first character of your given name.
#### is the last four digits of your phone number.
Where y is the Section Letter (A, B,)
Where z is the image number (1,2,3,4).

Example:  smith-j-1234-A1.jpg      Image Number 1 entered in Section A, by John Smith, phone no. 727-784-1234

Please PROOF READ your information before you Submit.  To send your entry, Click on the "Submit" Button.


 
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