Fill out COMPLETELY and Fill out COMPLETELY and

ATTACH label to back or bottom of work ATTACH label to back or bottom of work

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Name _______________________ Entry #______ Name ______________________ Entry #______

Phone __________________________ Phone __________________________

Title _____________________________________ Title ____________________________________

Medium __________________Price _____________ Medium __________________Price ___________

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Name ________________________ Entry ______ Name ______________________ Entry #______

Phone __________________________ Phone __________________________

Title _____________________________________ Title ____________________________________

Medium __________________Price _____________ Medium _________________Price_____________

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Name ________________________Entry #______ Name ______________________ Entry #______

Phone __________________________ Phone __________________________

Title _____________________________________ Title ____________________________________

Medium __________________Price _____________ Medium _________________Price ____________

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Name _______________________ Entry #______ Name ______________________ Entry #______

Phone __________________________ Phone __________________________

Title _____________________________________ Title____________________________________

Medium __________________Price _____________ Medium ________________Price______________

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Name ________________________Entry #______ Name ______________________ Entry #______

Phone __________________________ Phone __________________________

Title _____________________________________ Title ____________________________________

Medium _________________Price______________ Medium __________________Price ___________

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Name _______________________ Entry #______ Name ______________________ Entry #______

Phone __________________________ Phone __________________________

Title _____________________________________ Title ____________________________________

Medium _________________Price______________ Medium _________________Price_____________