Name ____________________________
	 
Address __________________________
	 
City _____________________State______ Zip 
 
Phone __________________________

e-mail __________________________



I have read and fully understand the conditions of the Peoria 
Art Guild's "Digital Photography '96" Show. 

signed__________________________________ 


SLIDE "A"

Title ________________________________
	
Medium ______________________________

Matte Height _____________ Matte Width ______________

Image Height _____________ Image Width ______________

Value ___________________
	

SLIDE "B"

Title ________________________________
	
Medium ______________________________

Matte Height _____________ Matte Width ______________

Image Height _____________ Image Width ______________

Value ___________________
	 

SLIDE "C"

Title ________________________________
	
Medium ______________________________

Matte Height _____________ Matte Width ______________

Image Height _____________ Image Width ______________

Value ___________________

(If not for sale, indicated value for insurance and write 
"NFS.")


NOTIFICATION FORM

Name __________________________


Slide "A"
		____accepted			____rejected


Slide "B"
		____accepted			____rejected

Slide "C"
		____accepted			____rejected