To submit your entry for our calendar competition, complete this form and enclose your slide/photo or JPG on CD along with payment to American Academy of Equine Art, Inc. and mail to:
Nancy Pellatt
1293 Guerins Bridge Road, Awendaw, SC 29429
843-216-5341
nancypellattart@juno.com
(Please Print or Type)
Name: __________________________________________
Address: ________________________________________
City: ___________________________________________
State: ___________________________ Zip: ___________
Telephone: (day) __________________________________
Telephone: (evening) ______________________________
Fax: ___________________________________________
E-mail: _________________________________________
( ) This is my first entry. ($25) ( ) I have already entered the contest this year. ($10)
Title of Work _____________________________________ Medium_____________________
Unframed Size _____________________________________
Payment enclosed in the amount of $ ________
Form of Payment:
check
VISA
M/C
Card #___________________________________________
Exp. Date:_____________________ Numbers on back of Card:_______________
Name as it appears on card:___________________________________________