*** Bob's Rock Shop Specimen Image Contest Entry Form ***


Your Name:

Your Email Address:

Your Mail Address:


Your Phone Number:

Number of Images Submitted (6 maximum):
Number of Previous Submissions, if any:

On an attached document, please supply a basic caption for each
image, including information as to mineral or fossil species,
locality, size of specimen, and any other anecdotal information
you'd like to relate. Feel free to elaborate concerning the
general and specific techniques you used to generate the image
as well. If you're submitting graphics files, please provide
this information on disk in a plain ASCII text file, keying each
caption to the corresponding graphics file name.

Be sure and label each entry, identifying it as yours. Medium or
large format transparencies should be sent in marked envelopes.

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I hereby affirm that I am the original photographer all images
submitted, and that they are free of any third party copyrights.
I hereby convey full copy permission of all submitted images
to Bob's Rock Shop and Bob Keller.

Signed:___________________________________ Date:

Thanks for Entering the Specimen Image Contest - Good luck!

Bob's Rock Shop - Image Contest Entry
227 West Rillito Street
Tucson, AZ 85705

Email: bkeller@rockhounds.com
Phone: (520) 624-1899   Fax: (520) 624-1891