ENTRY FORM ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Name________________________________________________
Address______________________________________________
City, State, Zip________________________________________
Home phone:________________________________________
Work/cell phone: ____________________________________
Email;________________________________________________
I have a: ¨ dog ¨ cat
Pet's name: _________________________________________
Shelter animal? ¨ dog ¨ cat ¨ other
Primary breed: _______________________________________
8x10 photo title: ______________________________________
Comments about pet or photo: ______________________
______________________________________________________
Please indicate method of donation (circle one)
Cash Check
Signature: __________________________________________
Drop your entry off at Wally's Friends Clinic
155 Unaka Street, Red Bank, TN 37415
OR
Send entries to: Wally's Fr iends Photo Contest P.O. Box 16100, Chattanooga, TN 37416
By entering this contest, you grant Wally's Friends the use of your photograph and any copies thereof for any and all purposes.
Photo disclaimer: Please do not send distasteful photos, photos with people, or photos with advertising. Wally's Friends reserves the right to refuse any photos submitted. Any professional photos must include signed permission from the photographer in order to be printed.
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