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Page 7
Application for Entry
Name: (as you want it to appear on your exhibit(s) __________________________________________
Address: _____________________________________ E-Mail: _______________________________
City: __________________________________ State: _______________ Zip: ___________________
Phone: ____________________________ Work or Other Phone: _____________________________
Home Shell Club: ___________________________________________________________________
Please fill in the following information to the best of your ability
CategoryCategory NameTotal exhibit length,
Number
ft.
Exhibit Title
Are you eligible for the Conchologists of America Award? (Circle Exhibit Number(s) - 1 2 3 4 5 6 )
Are you eligible for the Dupont Trophy? (Circle Exhibit Number(s) - 1 2 3 4 5 6 )
I have read and understand the Shell Show Rules and agree to abide by them.
Patron donation: $_______________
Mail Application(s) to:
The Sea Shell Searchers Shell Show 2004
C/O: Brazosport Museum of Natural Science
400 College Drive
Clute, Texas 77531
or E-mail to one of the addresses below:
Wanda Coker: 979-297-0852
sdcoker@brazosport.edu
Patty Humbird: 979-265-1320
Whumbird@csinternet.net
Awards dinner will be $10.00 per person.
I need _______ tickets at $10.00 each = $_______.00
Enclosed is (check one) _____ check _____ cash.
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