ILLUSTRATION WEST 45 ENTRY FORM

please print (Photocopy if necessary)

Category#_______________ 

your description___________________________________


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Illustrator__________________________________________________________

Address______________________________________________________________

city_________________________________State_______Zip_________________

Telephone__________________________________Fax______________________

E-mail________________________________________________________

URL_________________________________________________________________

Entrant (if different from illustrator)____________________________

The following information is required for categories 1 through 6 and 9 and 10:

Usage (Please tell us what this was used for and why)_______________________

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____________________________________________________________________________

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Art Director ________________________________________________________________

Client _____________________________________________________________________

Agency ____________________________________________________________________

Category 8: Instructor _____________________________
		
		    School ______________________

Signature of Entrant or Representative ____________________________________________

Entry Fee $______________________