WZC2000 Photo Exhibition

Entry form

 

 

Name: ____________________  _______________________ [ ] Male    [  ] Female

                                   First                                                            Last

Address: ____________________City: ______________ State/Province: ____________

ZIP/PIN/Postal Code: _________________ Country: ________________

Telephone: _______________Fax: _______________ Email: ____________________

 

Photo Id

Ceremony Name

Date of Photo

Location

Description                                                           

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[   ]  I authorize O’Shihan Cultural Organization to keep my photos in its archive for future exhibition.

[   ]  I authorize O’Shihan Cultural Organization  to possibly publish them with the name of the photographer. I shall not have any financial claim for the photos if they are published. I assume the proceeds, if any, will be spent on promotion of cultural and artistic activities among Zarathushti community.

[   ] Please send back my photo(s) to above address.       (If Negatives are sent, they would be returned to senders automatically)

Notes:

 

Signature: ______________________ Date: _________________