Pocket Entry Form

Only $3.00 1 photo to enter! You may enter extra photos for $1.00 each
$25 Guaranteed per catergory!
(some months more than one catergory is available)

*NOTE:If you can not copy this form just let me know and I will be happy to send you one.

Fees Below Are For Valentine Theme Only!

Name:________ Age:____ B.D._______Address:________ City:_______State:_____ Zip:_______

1 Photos $3_____ 5 Photos for $5 or $8 Unlimited 12 Photos(Sibling May Split)Ex.Photos $1 ea ____ Total # Photos_____ Discounts_______ Total Due______

*If you are a mini winner would prefer (Free Entry)_____ or (Mailed Gift)____

*Send PP to supremediva@bellsouth.net

SEND PAYMENT AS MONEY OWED!

*Send photos/Entry to pcelitefashion@yahoo.com

I have read and agree to all the rules and terms on the rules page.

Name:_________________ Date:_______

Email me anytime with questions.

If you can not copy this form just let me know and I will be happy to send you one.

Thanks, Ms. Keysha
:: All information
submitted is confidential. ::
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