| FRAME FEE:_____ @ $10.00/frame ONE FRAME EXHIBIT: $25.00 YOUTH:_____ @ $3.00/frame RETURN POSTAGE FEE: TOTAL REMITTANCE: |
$__________ $__________ $__________ $__________ $__________ |
ENTER IN SECTION NUMBER: ________ TOTAL NUMBER OF PAGES: __________ PAYABLE TO "PIPEX 2008" |
| I have read and will comply with the published PIPEX 2008 rules and regulations: Signature of Exhibitor: _________________________________________ Date: __________________ Signature of Parent/Guardian (age 18 or under): ___________________________________________ |
Date entry received: _________________ Date Remittance received: _____________ Amount received: __________ Check # _____ Date exhibit received: _______________ Amount due: __________ Notes: ____________________________________________________ Mounted by: ________________________ Dismounted by: ________________________ Exhibit returned to: ______________________ Synopsis received: __________________ Copy to: Jury Chairman __________________ FRAME NUMBERS _________ TO _________ |