Patsy's Magazine   -   2009 Star's Contest Printable OFFICIAL ENTRY FORM

Our STARS shine all year long with Patsy's Magazine!

             Just ask our 2008 Stars!!

Black/White or Color

Contest Deadline - NOVEMBER 20th

 

 

NAME_____________________________________________________________________________AGE________________

ADDRESS______________________________________________CITY__________________________

ST_________ZIP_________________

PARENT’S NAME(S)_______________________________________________________

PHONE # ( )____________________________

Amex, MC, Visa or Discover (Circle one) CARD#_______________________________________________________

Security Code__________

EXP. DATE_________/_________

Name as it appears on card:  ________________________________________________

Signature________________________________________

EMAIL ADDRESS: __________________________________________________________

PHOTO BY: _______________________________________________________________        

1st Photo Entry Glitz............................................................................$40.00

___________Extra Photos @ $10.00 each......................_______________

1st Photo Entry Natural........................................................................$40.00

___________Extra Photos @ $10.00 each......................_______________

1st Photo Entry Glitz and 1st Photo Entry Natural (Enter both contests for 1 price)  ...................................$60.00

___________Extra Photos either category  @ $10.00 each......................_______________

Total Glitz photo entries ________      Total Natural photo entries  _________

Total number of photos entered _______

Postage to return photos...............................................$  7.00   (Required - Must be included to return photos)

TOTAL AMOUNT INCLUDED....................................$______________

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