2004 Puppy Love & Sex Kittens Exhibit Entry Form

Please type or print clearly. Remember to include this form and the following:

A self-addressed stamped envelope
Photos
Entry fee of $25 for up to three entries and $5 for each additional entry

All checks or international money orders must be in US currency and drawn on a U.S. bank.

Entry form, fee, and photos must arrive by

March 1, 2004

Name: ___________________________________________________

Address: _________________________________________________

City: _____________________________ State: ______ Zip: _____

Daytime Phone: __________________ Evening Phone: _______________

E-mail: ___________________________________________________

Where did you hear about this competition? ________________________

Title #1:

Materials:

Technique:

Size:

(Height, width, and depth in inches)

Retail Price:

Title #2:

Materials:

Technique:

Size:

(Height, width, and depth in inches)

Retail Price:

Title #3:

Materials:

Technique:

Size:

(Height, width, and depth in inches)

Retail Price:

Entry to this competition constitutes acceptance of all conditions stated and provides permission to photograph or reproduce any work for publicity, catalog, or publication. I do not hold How Original! Gallery, its officers or its agents responsible for loss or damage of any kind to photographs or works of art.

Signature: ____________________________________ Date: _________________

Mail to: How Original! Puppy Love Call, 540 S. Coast Hwy. #105, Laguna Beach, CA 92651