Name: ______________________________   Today's date: _________________

Student number:_________   Program: ___________________________________

Overseas address:
(if applicable)

Phone number: _____________  Email address: ___________________________

Please give a title for or brief description of each photograph:

   #1 ______________________________________________________________
   #2 ______________________________________________________________
   #3 ______________________________________________________________
   #4 ______________________________________________________________

Submissions must be in the form of prints, not discs or email attachments.
Please do not mount or frame your prints.

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