ENTRY FORM A

All Gold Rockie winners will be automatically forwarded to the next competition level, the District XI Northwest Advertising Awards Competition with no additional fee.

If you wish to have your entries returned to you after the awards show on April 12, 2008 an additional handling fee of $5.00 will be charged. You will also be responsible for paying shipping costs. Note: entries that are forwarded onto District level will not be available until after District judging.

Yes, I wish to have entries returned after the competition for an additional $5.00 plus shipping.
No, do not return my entries.

Please fill out the information below

Contact Name:

Contact Name 2:

Submitted by: (company)

member company

non-member company

Address:

Address 2

City:

State:

Zip/Postal Code:

Phone:

Fax:

Email: