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Name of Photographer

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone

Photo 1 description - Please include: Where the photo was taken and information relating to the subject matter, and month and year the photo was taken.

Photo 1:

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Max. file size: 20 MB, Max. files: 5.

Photo 2 description:

Photo 2:

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Max. file size: 20 MB, Max. files: 5.

Photo 3 description:

Photo 3

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Max. file size: 20 MB, Max. files: 5.

Photo 4 description:

Photo 4

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Max. file size: 20 MB, Max. files: 5.

Photo 5 description:

Photo 5

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Max. file size: 20 MB, Max. files: 5.

***Be sure to wait for all photos to be uploaded with green check box before clicking the "Submit" button.