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4.
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Name of Exhibitor: |
______________________________________ |
Please Print Clearly
or
Type!!
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5.
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Address: |
______________________________________ |
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______________________________________ |
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City, State, ZIP Code: |
______________________________________ |
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Telephone: |
______________________________________ |
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E-mail:
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______________________________________ |
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6.
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Title of Exhibit: |
______________________________________________________ |
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7.
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Description:
(25 words or less)
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______________________________________________________ |
| ______________________________________________________ |
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National Stamp Organizations (check if a member): |
APS ( ) AAPE ( ) ATA ( ) USSS ( ) AFDCS ( ) GPS ( )
Other (specify) ___________________________
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| 8. |
FRAME AND SHIPPING FEES ENCLOSED: |
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Adult Exhibitor _________ frames (see par. 2 above): |
$ ________________ |
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Youth Exhibitor _________ frames ($5 each over 3 frames): |
$ ________________ |
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Return shipping costs (please enclose instructions): |
$ ________________ |
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TOTAL AMOUNT ENCLOSED: |
$ ________________ |
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Make check payable to: Minnesota Stamp Expo
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9.
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First time/novice exhibitor? YES NO |
Attending the show? YES NO |
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10.
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Exhibit shipped to show? YES NO |
Exhibit shipped back to exhibitor? YES NO |
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11.
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I agree that the decision of the judges is final and release and hold harmless the judges and the American Philatelic Society, its officers, directors, employees, and representatives from any damages, including but not limited to damages to my reputation or that of my exhibit, suffered or incurred as a result of the judging. |
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12.
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Signature*: _________________________________________
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Date: _________ |
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13.
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Birth date if youth exhibitor: ___________________________ |
*Parent signature if youth exhibitor |