Please fill out this form and include it with your Division entry to each Division jury you are entering. Do NOT send this form to our management company.
City of residence/work:_____________________________________
Employer, Newspaper, or Syndicate:______________________________________
Feature, Specialty, or Category:__________________________________________
Brief biographical sketch:
Your website or email:__________________________________
Point of contact for media interviews (if you want publicity):
Attach a portrait type photo for newspaper use (optional).