PAYPAL ENTRY FORM ONLY

Given Name * ENTRY FORM. - Instructions

Use the following Format for your Image Filename:
surname-x-####-yz.jpg
Where x is the first character of your given name.
#### is the last four digits of you phone number.
Where y is the Section Letter (A, B, C, D)
Where z is the image number (1, 2, 3, 4)

Example: smith-j-1234-A1.jpg
(This is image number 1 entered in Section A,
by John Smith, phone no. 727-784-1234

Last Name *
Honours (MAX 3)
Address1 *
Address2
Town/City *
County/State/Region
Post Code/Zip
Country *
E-mail *
PayPal Account Name *

* Indicates that this is a required field
Comments
 

Click on the browse button, navigate to your image and then click open. Put the title in the TITLE field.
The maximum number of charcters for the title is 35


A OPEN TITLE
A OPEN TITLE
A OPEN TITLE
A OPEN TITLE

B TRAVEL TITLE
B TRAVEL TITLE
B TRAVEL TITLE
B TRAVEL TITLE

C NATURE TITLE
C NATURE TITLE
C NATURE TITLE
C NATURE TITLE
Please tick the W box in the far column if you wish your image to be considered for the Wildlife award

D PEOPLE TITLE
D PEOPLE TITLE
D PEOPLE TITLE
D PEOPLE TITLE

At the end of a successful upload, you will be taken to the PayPal entry fee payment page. You will also receive an email at the email address contained in your entry form. If you do not receive the entry acknowledgment email, your upload was most likely not successful and you need to submit again.

FIAP 2010/148