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Contact Us | © 2007
Friends of Noxubee
Refuge
Friends of Noxubee
Refuge
| Photo Entry Form |
Noxubee National Wildlife Refuge
Entry Form
Date ________________________
FRIENDS OF NOXUBEE REFUGE
2010 AMATEUR PHOTOGRAPHY CONTEST ENTRY
Each entry must be accompanied by this form. Entries must be received by 4 p.m.
on September 15th, 2010 at the Noxubee National Wildlife Refuge Office / Visitor
Center (located on the south shore of Bluff Lake). Entries may be turned in at the
Visitor Center or mailed to Friends of Noxubee Refuge, 2970 Bluff Lake Road,
Brooksville, MS 39739. No identifying information is to be visible on any surface of
the photograph.
For questions, call Andrea Dunstan at (662) 323-5548.
___ Youth (under 16) ____ Adult (16 and older)
NAME ______________________________________________________________
ADDRESS __________________________________________________________
CITY _____________________________________ STATE __________________
PHONE (___________) _________________________________________________
E-MAIL ______________________________________________________________
____ Category Wildlife ____ Category Scenery, Plants, Fungi
____ Digital ____ Film
Photo Title / Subject ____________________________________________________
Photo Location _________________________________________________________
I understand and agree that Friends of Noxubee Refuge may reproduce any entry
for display, website or publication as needed. I have read the photo contest rules
and agree to all conditions contained therein.
Signed: _________________________________________ Date: __________________
Date ________________________
FRIENDS OF NOXUBEE REFUGE
2010 AMATEUR PHOTOGRAPHY CONTEST ENTRY
Each entry must be accompanied by this form. Entries must be received by 4 p.m.
on September 15th, 2010 at the Noxubee National Wildlife Refuge Office / Visitor
Center (located on the south shore of Bluff Lake). Entries may be turned in at the
Visitor Center or mailed to Friends of Noxubee Refuge, 2970 Bluff Lake Road,
Brooksville, MS 39739. No identifying information is to be visible on any surface of
the photograph.
For questions, call Andrea Dunstan at (662) 323-5548.
___ Youth (under 16) ____ Adult (16 and older)
NAME ______________________________________________________________
ADDRESS __________________________________________________________
CITY _____________________________________ STATE __________________
PHONE (___________) _________________________________________________
E-MAIL ______________________________________________________________
____ Category Wildlife ____ Category Scenery, Plants, Fungi
____ Digital ____ Film
Photo Title / Subject ____________________________________________________
Photo Location _________________________________________________________
I understand and agree that Friends of Noxubee Refuge may reproduce any entry
for display, website or publication as needed. I have read the photo contest rules
and agree to all conditions contained therein.
Signed: _________________________________________ Date: __________________