Share your Beaver Creek Fire Images An open exhibition Hosted by: Environmental Resource Center & Idaho Conservation League October Gallery Walk: October 11, 2013 SUBMISSION FORM Deadline: 5:00pm Friday, October 4, 2013. (Please call in advance as we are a small staff and not always on site.) Name: _________________________________________________ Mailing Address: _________________________________________________ City, State, Zip: _________________________________________________ Email: _________________________________________________ Daytime Phone: _________________________________________________ Title of Submission: _________________________________________________ Ensure that your name and title of your submission are affixed to the back of your framed photograph. Signature* and date (month, day, year): *Signature acknowledges agreement to the conditions stated in the Submission Guidelines and Submission Details.
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