ENTRY FORM TEMPLATE FOR YOUR CONTEST - DOC by Noodlezs

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									                          2009                                    COMMUNICATIONS CONTEST


Category number:            Category name:
Subcategory number:           Subcategory name:
Please provide entrant’s direct contact info (not a general office number or e-mail address for person who prepared the entry form).
Please write name of entrant(s) as it should appear in print:
Entrant Name:                                                 Co-entrant:
Address:                                                      Address:

Address:                                                      Address:

City/State/ZIP:                                               City/State/ZIP:

E-mail:                                                       E-mail:

Phone (with Area Code):                                       Phone (with Area Code):

Role of Entrant(s):
If more than one co-entrant, write all other names and contact information on separate 8½" x 11" sheet, then attach .

On the numbered lines, write the following information:
1. a) Headline or title of entry with b) publication or broadcast date (add length of broadcast – min. / sec. if applicable)
2. Name and address of publication, media outlet, agency or client
1. a)        b)

2.

1. a)        b)

2.

1. a)        b)

2.

Mail contest entries and forms by Jan. 16, 2009, to:                                  Questions?
           Candi Helseth, Contest Manager                                               Contact NDPC Contest Director
           2901 20th St. S.E.                                                           Candi Helseth: (701) 839-0312
           Minot, ND 58701                                                              or e-mail candi@srt.com

(Book entries due Dec. 19, 2008.) Payment: Please enclose a check payable to “NDPC” with entry form.

- - - - - - - - - - - - - - - - - - - - - - - - - - Judges Use Below This Line - - - - - - - - - - - - - - - - - - - - - - - - -
                                                                            st   nd        rd
                               Judge Circles ONE (no ties):             1        2        3       HM
JUDGE’S COMMENTS:

								
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