The Best of Photojournalism 2004 Web site Entry Form

Contestants must complete one entry form for each single entry.
Required fields are highlighted.
Organization
or Web site Name
Classification
Primary Contact Information
First Name
Last Name
Address
City
State or Province
Zip
Email
Work Phone
Home Phone
Name of entrants on team:
Member 1
Last Name
First Name
Member 2
Last Name
First Name
Member 3
Last Name
First Name
Member 4
Last Name
First Name
Member 5
Last Name
First Name

Professional Affiliation:
(Organization you work for)

Contact Person:
Position:
Telephone:
Mailing Address:
City:
State or Province
Zip:
Categories:
Title of Entry:
Brief description of entry:
Entry URL:

I hereby certify:

  1. I am the only copyright holder or have been fully authorized by the copyright holder with regard to the material herewith submitted.
  2. If my entries are selected by The Best of Photojournalism 2004, I give permission to The Best of Photojournalism for the use of the material in the exhibition, The Best of Photojournalism book, The Best of Photojournalism CD, the NPPA.org website and for the promotion of The Best of Photojournalism and its activities, without any remuneration.
  3. I accept all entry rules of The Best of Photojournalism 2004 competition.

    Agree