PSA – I.C.P.C. – PPD  DIVISION

International Club Print Competition
Enrollement Form

 Date: ________________ 

Club Name: ___________________________________________(New)_______Returning_________

Club Representative:____________________________________________________

(contact person who will handle all correspondence)

Address:______________________________________________________________

City:______________________, State:_________________, Zip:________________

Phone #: (        )  ______________  Fax #: (        ) _______________

Email Address: ______________________________________________

Please Indicate the categories in which your club would like to compete in.

________ Large Monochrome prints           (LM) No larger than 16X20 including mat.

________ Large Color Prints                        (LC)  No larger than 16X20 including mat.

________Creative Altered Reality               (CAR)  No larger than 16X20 including mat.

________ Small Monochrome Prints            (SM)  No larger than 8.5 X 12 square inches

________ Small Color Prints                          (SC) No larger than 8.5 X 12 square inches

________ Approximate Number of print makers in your club.

     Very  Important  The director assumes that clubs completing the ENROLLMENT FORM will host  a competition on a rotation basis on a date determined in consultation with the Director.  The greater the number of clubs in ICPC will control how often that a club will be required to be a host club.

There is no fee for this activity.  Each club may enter in each competition the following five categories: 4 Monochrome Prints in LM & SM, 4 Color Prints in LC & SC.  4 Creative Altered Reality prints CAR, they can be a mix of large or small prints, color or monochrome.  Each of the four prints in a category is to be by a different maker. If a club does not have 4 prints by 4 different makers, it may send in a partial entry. Also each club is responsible for the return postage.

Each club may enter all five categories. Creative Altered Reality category prints (CAR),  can be a mix of large or small prints.  Each of the four prints in a category must be by a different maker. If a club does not have 4 prints by 4 different makers, it may send in a partial entry of one print per maker. Each club is responsible for the return postage.

Please send this enrollment form. TO:

Edward Gervais, ICPC Director
124 Sandpiper Court
Florence, Oregon 97439-9043
Phone: 541-997-5864 – Fax 541-902-1428
Email- emgervais@oregonfast.net

Your club must be a PSA Club member for you to participate in ICPC.   http:/www.psa-photo.org
Or
check out the PSA Club web page at    http://psa-clubservices.org/