EmailMeForm
Newsletter Cover Photo Contest
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Email
*
Phone
*
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Photo Upload Theme: Flowers
Formats Accepted: jpg, jpeg, png, pdf or tif
*
Photo Address or Location
(where was this picture taken?)
*
How would you like your name credited?
*
Ownership
*
Yes I am the person who took this picture and own the rights to it.
Permission
*
If I am selected I give permission to Phoenix Revitalization Corporation (PRC) to publish this photo on the Central City South Newsletter Cover.
Marketing Materials
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Yes I give permission to Phoenix Revitalization Corporation (PRC) to use this photo in any PRC marketing materials so long as I am credited.
No I only want to submit for the Central City South Newsletter Cover Photo Contest.
Signature
*
Clear
