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entry form


Once you have typed in all information, please PRINT OUT this completed form and MAIL IT along with your entry photo

Mail to: Photography by Don Stachowiak, 6525 Bricktown Ci.,Glen Burnie, MD 21061

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone
Date of birth
Sex Male Female
Height
Weight
Hair color