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Green Scene Contest Entry Form

Please print out this page, fill out completely, and send in with payment and photographs.

Name:
Address:
City/State/Zip:
Phone:
Email:

Entry Fees

Amount (check one):

1 photo ($15)    2-5 photos ($25)    6-10 photos ($40)

Payment Option:

Check (payable to PHS)

Credit Card: ___ Visa    ___ MasterCard    ___ Amex   

Card Number:
Card Expiration Date:
Signature:

Please mail your entries to: GREEN SCENE PHOTO CONTEST, The Pennsylvania Horticultural Society, 100 N. 20th Street, Philadelphia, PA 19103-1495

The contest is open to photographers 18 years and older. To be eligible, all mailed-in entries must by postmarked on or before September 18, 2009.

Warranty and Permission
By sending this photograph(s) to the Pennsylvania Horticultural Society’s Green Scene Garden Photo Contest, I warrant that I am the sole author of this photo(s). I grant the Pennsylvania Horticultural Society the right to publish this photo in its publications and electronic newsletters, on its website, and in collateral publications, including, but not limited to promotional materials. I understand that beyond granting PHS these rights, I retain all other rights to this photograph.

Printed Name:
Signature:

Click here for the Official Contest Rules

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