ENTRY FORM - Rotary Club of Port Louis
ENTRY FORM - Rotary Club of Port Louis
ENTRY FORM - Rotary Club of Port Louis
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<strong>Rotary</strong> <strong>Club</strong> <strong>of</strong> <strong>Port</strong> <strong>Louis</strong>MARCEL LAGESSE AWARD PHOTO COMPETITIONNAME:FIRST NAME:DATE OF BIRTH:ID CARD Number:ADDRESS:HOME PHONE:OFFICE PHONE:MOBILE PHONE:EMAIL:PROFESSION:Number <strong>of</strong> images sent:Description <strong>of</strong> camera used –Make:Model:<strong>ENTRY</strong> <strong>FORM</strong>If you have any questions you will find answers on our web site(http://www.rotaryportlouis.com/PhotoComp/showFAQ.php).There is also provision to submit your own questions.All entries must be submitted and received by July 31 st 2009 and submittedby registered mail to:ROTARY CLUBPO BOX 69, PORT LOUIS.
DESCRIPTION OF IMAGES:Image 1:Model release attached: Yes / NoImage 2:Model release attached: Yes / NoImage 3:Model release attached: Yes / NoImage 4:Model release attached: Yes / NoI accept the rules and conditions <strong>of</strong> the Marcel LAGESSE AWARDCOMPETITION defined by the ROTARY CLUB OF PORT LOUIS.Signature:
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