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TURNING LENS

PHOTOGRAPHIC SOCIETY

Presents

GLYPH 12

ENTRY FORM NTRY ORM


Please give all the details clearly

Participants Information
First Name: Home Address: City: Phone: Mobile: Date of Birth: E-mail Address: Nationality: Gender: State: Country: Surname:

Category

Caption of photo

Caption photograph 1: . Description of photograph 1: .

Caption photograph 2: .

OPEN COLOR

Description of photograph 2: .

Caption photograph 3: . Description of photograph 3: .

Caption photograph 1: . Description of photograph 1: .

MONOCHROME
Caption photograph 2: . Description of photograph 2: .

Caption photograph 3: . Description of photograph 3: .

Caption photograph 1: . Description of photograph 1: .

TRAVEL PHOTOGRAPHY

Caption photograph 2: . Description of photograph 2: .

Caption photograph 3: . Description of photograph 3: .

PAYMENT MODE: I. II. III. IV. V. Money order (through PO) Money transfer (through Bank) Cash/Cheque within envelope through PO (at your own risk) Cheque/ hand in cash Demand Draft
** Any 1 kind of payment procedure is allowed per participant.

Select your payment Mode:


** Please Contact with us for further clarification. ***

Cheque Number:

Paid Amount:

** Please fill this, if you want to pay via cheque.

Form should be submitted electronically to: turninglens@yahoo.com I have read understood and agree to the conditions of entry for the GLYPH 2012 Photography competition-cum-exhibition and accept them as part of the competition. I am happy for KTLPS to exhibit my photographs and reproduce them for use in KTLPS publications, on its website or in media campaigns, and understand KTLPS will include my name to acknowledge my work, where possible. Please ensure that you have carefully read all instructions, rules and regulations and have included your signature on this entry form.

Name: . Place: .. Date: ..