MIDPHOT 2015 - ENTRY FORM

CLUB/SOCIETY CANNOCK PHOTOGRAPHIC SOCIETY

CONTACT TEL. NO: 01543-876296 / 07881-389131 / Email:
ENTER CONTACT NAME & ADDRESS
WITHIN BOX BELOW (ONLY ONE PER CLUB) / Please enter below how your work is to be returned
STEPHEN CLIFFORD / Post (remember to enclose your money)
35 RADNOR RISE
HESDNESFORD / Return via one of the collection points
STAFFORDSHIRE / Name
WS12 1LQ
Collect in person from Smethwick PS
(NB Thursday only unless by prior arrangement)

PLEASE ENTER ONLY ONE SECTION PER FORM AND TICK THE APPRORIATE BOX BELOW

Print Sections / Projected Image Sections
Mono / Colour / XX / Nature / Panels / Gen
Digital / Nature Digital
Acc Mark / Acc Mark / 12+ / Acc Mark / Acc Mark / Acc
Mark / Acc
Mark

PLEASE PRINT CLEARLY IN BLOCK CAPITALS LISTING AUTHORS IN ALPHABETICAL ORDER

AUTHOR’S NAME & DISTINCTIONS / TITLE (MAXIMUM OF 8 PER AUTHOR) / OFFICIAL USEONLY
David Byrne EFIAP DPAGB BPE3* / HOAR FROST REFLECTION / 11
David Byrne EFIAP DPAGB BPE3* / HOME SWEET HOME / 13
David Byrne EFIAP DPAGB BPE3* / LAST LIGHT / 9
David Byrne EFIAP DPAGB BPE3* / MORNING MIST / 10
David Byrne EFIAP DPAGB BPE3* / NEW BRIGHTON LIGHTHOUSE / 12+
David Byrne EFIAP DPAGB BPE3* / THE RED ROOF / 11
David Byrne EFIAP DPAGB BPE3* / WALK OF FAME / 12+
David Byrne EFIAP DPAGB BPE3* / WINTER REFLECTIONS / 10
John Cartlidge EFIAP/P APAGB BPE 4 / DANGER MAN / 10
John Cartlidge EFIAP/P APAGB BPE 4 / GAUCHO AND GIRL / 9
Stephen Clifford / GB FREESTYLE / 12+
Paul Hassell / WINTERS SEAT / 12
Paul Hassell / TEARING IT UP / 13
Paul Hassell / A SIMPLE LIFE / 14 / HC
Paul Hassell / DETERMINATION / 15 / MCPF Ribbon
Paul Hassell / FOREVER TOGETHER / 11

CATALOGUES MAY BE COLLECTED OR WILL BE RETURNED WITH ENTRY

……………ENTRIES @ 75p
or …………PANELS @ £3.00 / £ :
£ :
TOTAL / £

Please make cheques payable to “MCPF”

PLEASE FEEL FREE TO PHOTOCOPY THIS FORM or Download from MCPF website

MIDPHOT 2015 - ENTRY FORM

CLUB/SOCIETY CANNOCK PHOTOGRAPHIC SOCIETY

CONTACT TEL. NO: 01543-8762296 / 078811389131 / Email:
ENTER CONTACT NAME & ADDRESS
WITHIN BOX BELOW (ONLY ONE PER CLUB) / Please enter below how your work is to be returned
STEPHEN CLIFFORD / Post (remember to enclose your money)
35 RADNOR RISE
HEDNESFORD / Return via one of the collection points
STAFFORDSHIRE / Name
WS12 1LQ
Collect in person from Smethwick PS
(NB Thursday only unless by prior arrangement)

PLEASE ENTER ONLY ONE SECTION PER FORM AND TICK THE APPRORIATE BOX BELOW

Print Sections / Projected Image Sections
Mono / Colour / XX / Nature / Panels / Gen
Digital / Nature Digital
Acc Mark / Acc Mark / 12+ / Acc Mark / Acc Mark / Acc
Mark / Acc
Mark

PLEASE PRINT CLEARLY IN BLOCK CAPITALS LISTING AUTHORS IN ALPHABETICAL ORDER

AUTHOR’S NAME & DISTINCTIONS / TITLE (MAXIMUM OF 8 PER AUTHOR) / OFFICIAL USEONLY
Paul Hassell / HORSE WHISPERER / 12
Paul Hassell / FORGOTTEN INNOCENCE / 12
Paul Hassell / HEI JO SHIN / 10
Carl Mason LRPS EFIAP/G DPAGB BPE3 / HOMELESS / 11
Carl Mason LRPS EFIAP/G DPAGB BPE3 / WALK ON THE WILD SIDE / 12+
Carl Mason LRPS EFIAP/G DPAGB BPE3 / CHAMBERMAID / 11
Carl Mason LRPS EFIAP/G DPAGB BPE3 / OVERSTRAND / 11
Carl Mason LRPS EFIAP/G DPAGB BPE3 / TUBE STATION / 12+
Carl Mason LRPS EFIAP/G DPAGB BPE3 / CALM WATERS / 11
Carl Mason LRPS EFIAP/G DPAGB BPE3 / DOWN BY THE SEA / 11
Carl Mason LRPS EFIAP/G DPAGB BPE3 / NOBODY’S FRIEND / 10
Polly Mason LRPS / CORNER OF AN ENGLISH FIELD / 10
Polly Mason LRPS / ABOUT WITH FRIENDS, CROMER / 10
Polly Mason LRPS / WHITE CHAIR / 11
Polly Mason LRPS / SLIPPING OUT TO SEA / 12+
Polly Mason LRPS / UNDER NORFOLK SKIES / 11

CATALOGUES MAY BE COLLECTED OR WILL BE RETURNED WITH ENTRY

……………ENTRIES @ 75p
or …………PANELS @ £3.00 / £ :
£ :
TOTAL / £ :

Please make cheques payable to “MCPF”

PLEASE FEEL FREE TO PHOTOCOPY THIS FORM or Download from MCPF website

MIDPHOT 2015 - ENTRY FORM

CLUB/SOCIETY CANNOCK PHOTOGRAPHIC SOCIETY

CONTACT TEL. NO: 01543-876296 / 07881-389131 / Email:
ENTER CONTACT NAME & ADDRESS
WITHIN BOX BELOW (ONLY ONE PER CLUB) / Please enter below how your work is to be returned
STEPHEN CLIFFORD / Post (remember to enclose your money)
35 RADNOR RISE
HESDNESFORD / Return via one of the collection points
STAFFORDSHIRE / Name
WS12 1LQ
Collect in person from Smethwick PS
(NB Thursday only unless by prior arrangement)

PLEASE ENTER ONLY ONE SECTION PER FORM AND TICK THE APPRORIATE BOX BELOW

Print Sections / Projected Image Sections
Mono / Colour / XX / Nature / Panels / Gen
Digital / Nature Digital
Acc Mark / Acc Mark / 12+ / Acc Mark / Acc Mark / Acc
Mark / Acc
Mark

PLEASE PRINT CLEARLY IN BLOCK CAPITALS LISTING AUTHORS IN ALPHABETICAL ORDER

AUTHOR’S NAME & DISTINCTIONS / TITLE (MAXIMUM OF 8 PER AUTHOR) / OFFICIAL USEONLY
Polly Mason LRPS / SEA OF LAVENDER / 11
Polly Mason LRPS / RUDE WIND / 10
Paul Reynolds / GEORGETOWN MARKETEER / 14 / HC
Paul Reynolds / KIDS FROM LAOS / 13
Paul Reynolds / GOOD HAIR DAY / 11
Lloyd Scott / THE SCRAP MAN / 12+
Lloyd Scott / THE OLD BANK MANAGER / 12+
Lloyd Scott / FROZEN PLANET / 10
Lloyd Scott / IT FEELS LIKE YESTERDAY TO ME / 10
Paul Sutton / THE LIBRARY / 11
Paul Sutton / NEW STREET EYE / 10
Paul Sutton / DERELICT GRAFFITI / 11

CATALOGUES MAY BE COLLECTED OR WILL BE RETURNED WITH ENTRY

……44………ENTRIES @ 75p
or …………PANELS @ £3.00 / £33 :00
£ :
TOTAL / £33:00

Please make cheques payable to “MCPF”

PLEASE FEEL FREE TO PHOTOCOPY THIS FORM or Download from MCPF website

MIDPHOT 2015 - ENTRY FORM

CLUB/SOCIETY CANNOCK PHOTOGRAPHIC SOCIETY

CONTACT TEL. NO: 01543-876296 / 07881-389131 / Email:
ENTER CONTACT NAME & ADDRESS
WITHIN BOX BELOW (ONLY ONE PER CLUB) / Please enter below how your work is to be returned
STEPHEN CLIFFORD / Post (remember to enclose your money)
35 RADNOR RISE
HESDNESFORD / Return via one of the collection points
STAFFORDSHIRE / Name
WS12 1LQ
Collect in person from Smethwick PS
(NB Thursday only unless by prior arrangement)

PLEASE ENTER ONLY ONE SECTION PER FORM AND TICK THE APPRORIATE BOX BELOW

Print Sections / Projected Image Sections
Mono / xx / Colour / Nature / Panels / Gen
Digital / Nature Digital
Acc Mark / 12+ / Acc Mark / Acc Mark / Acc Mark / Acc
Mark / Acc
Mark

PLEASE PRINT CLEARLY IN BLOCK CAPITALS LISTING AUTHORS IN ALPHABETICAL ORDER

AUTHOR’S NAME & DISTINCTIONS / TITLE (MAXIMUM OF 8 PER AUTHOR) / OFFICIAL USEONLY
David Byrne EFIAP DPAGB BPE3* / BEACON / 13
David Byrne EFIAP DPAGB BPE3* / DEADLY EMBRACE / 12+
David Byrne EFIAP DPAGB BPE3* / FRONTIER MAN / 12
David Byrne EFIAP DPAGB BPE3* / PUB BRAWLER / 13
David Byrne EFIAP DPAGB BPE3* / TIPPING POINT / 13
David Byrne EFIAP DPAGB BPE3* / VAGABOND / 10
David Byrne EFIAP DPAGB BPE3* / WINTER LIGHT OVER FROZEN LOCH / 11
David Byrne EFIAP DPAGB BPE3* / WISE GUY / 13
John Cartlidge EFIAP/P APAGB BPE 4 / CODY & SLIM / 10
John Cartlidge EFIAP/P APAGB BPE 4 / THE LOOK / 10
Steve Clifford / LIFE UNDER THE BRIDGE / 9
Steve Clifford / LOCK KEEPERS COTTAGE / 11
Paul Hassell / VIC EVANS THE JAZZMAN / 15 / Best Mono portrait
Paul Hassell / THE MAD HATTER / 12
Paul Hassell / GYPSY ROSE / 9
Paul Hassell / RIPPED / 13

CATALOGUES MAY BE COLLECTED OR WILL BE RETURNED WITH ENTRY

……………ENTRIES @ 75p
or …………PANELS @ £3.00 / £ :
£ :
TOTAL / £ :

Please make cheques payable to “MCPF”

PLEASE FEEL FREE TO PHOTOCOPY THIS FORM or Download from MCPF website

MIDPHOT 2015 - ENTRY FORM

CLUB/SOCIETY CANNOCK PHOTOGRAPHIC SOCIETY

CONTACT TEL. NO: 01543-876296 / 07881-389131 / Email:
ENTER CONTACT NAME & ADDRESS
WITHIN BOX BELOW (ONLY ONE PER CLUB) / Please enter below how your work is to be returned
STEPHEN CLIFFORD / Post (remember to enclose your money)
35 RADNOR RISE
HESDNESFORD / Return via one of the collection points
STAFFORDSHIRE / Name
WS12 1LQ
Collect in person from Smethwick PS
(NB Thursday only unless by prior arrangement)

PLEASE ENTER ONLY ONE SECTION PER FORM AND TICK THE APPRORIATE BOX BELOW

Print Sections / Projected Image Sections
Mono / xx / Colour / Nature / Panels / Gen
Digital / Nature Digital
Acc Mark / 12+ / Acc Mark / Acc Mark / Acc Mark / Acc
Mark / Acc
Mark

PLEASE PRINT CLEARLY IN BLOCK CAPITALS LISTING AUTHORS IN ALPHABETICAL ORDER

AUTHOR’S NAME & DISTINCTIONS / TITLE (MAXIMUM OF 8 PER AUTHOR) / OFFICIAL USEONLY
Paul Hassell / THE DEFENCE / 12
Paul Hassell / THE SHADOW BOXER / 14 / HC
Paul Hassell / PROUD CRETIAN / 11
Paul Hassell / ENDURANCE / 15 / HC
Carl Mason LRPS EFIAP/G DPAGB BPE3 / SECRET MEETING / 13
Carl Mason LRPS EFIAP/G DPAGB BPE3 / CHEDDLETON YARD / 12+
Carl Mason LRPS EFIAP/G DPAGB BPE3 / THE LAST MINER / 12+
Carl Mason LRPS EFIAP/G DPAGB BPE3 / ONE MAN AND HIS DOG / 13
Carl Mason LRPS EFIAP/G DPAGB BPE3 / SEA STEPS / 11
Carl Mason LRPS EFIAP/G DPAGB BPE3 / WRECK OF THE SHERATON / 13
Carl Mason LRPS EFIAP/G DPAGB BPE3 / LYME COBB / 12
Polly Mason LRPS / DEALERS / 12+
Polly Mason LRPS / MAKING DO / 10
Paul Reynolds / ALAN / 10
Paul Reynolds / ABANDONDED MINE / 11
Paul Reynolds / LATE FOR THE MATCH / 10

CATALOGUES MAY BE COLLECTED OR WILL BE RETURNED WITH ENTRY

……………ENTRIES @ 75p
or …………PANELS @ £3.00 / £ :
£ :
TOTAL / £ :

Please make cheques payable to “MCPF”

PLEASE FEEL FREE TO PHOTOCOPY THIS FORM or Download from MCPF website

MIDPHOT 2015 - ENTRY FORM

CLUB/SOCIETY CANNOCK PHOTOGRAPHIC SOCIETY

CONTACT TEL. NO: 01543-876296 / 07881-389131 / Email:
ENTER CONTACT NAME & ADDRESS
WITHIN BOX BELOW (ONLY ONE PER CLUB) / Please enter below how your work is to be returned
STEPHEN CLIFFORD / Post (remember to enclose your money)
35 RADNOR RISE
HESDNESFORD / Return via one of the collection points
STAFFORDSHIRE / Name
WS12 1LQ
Collect in person from Smethwick PS
(NB Thursday only unless by prior arrangement)

PLEASE ENTER ONLY ONE SECTION PER FORM AND TICK THE APPRORIATE BOX BELOW

Print Sections / Projected Image Sections
Mono / XX / Colour / Nature / Panels / Gen
Digital / Nature Digital
Acc Mark / 12+ / Acc Mark / Acc Mark / Acc Mark / Acc
Mark / Acc
Mark

PLEASE PRINT CLEARLY IN BLOCK CAPITALS LISTING AUTHORS IN ALPHABETICAL ORDER

AUTHOR’S NAME & DISTINCTIONS / TITLE (MAXIMUM OF 8 PER AUTHOR) / OFFICIAL USEONLY
Paul Reynolds / LADY FROM LAOS / 11
Lloyd Scott / CHILTERN WINDMILL / 10
Paul Sutton / MISTY BARGE / 11
Paul Sutton / FIRESIDE / 9
Paul Sutton / PAPER TRENCHES / 9

CATALOGUES MAY BE COLLECTED OR WILL BE RETURNED WITH ENTRY

………37……ENTRIES @ 75p
or …………PANELS @ £3.00 / £27: 75
£ :
TOTAL / £ 27: 75

Please make cheques payable to “MCPF”

PLEASE FEEL FREE TO PHOTOCOPY THIS FORM or Download from MCPF website

MIDPHOT 2015 - ENTRY FORM

CLUB/SOCIETY CANNOCK PHOTOGRAPHIC SOCIETY

CONTACT TEL. NO: 01543-876296 / 07881-389131 / Email:
ENTER CONTACT NAME & ADDRESS
WITHIN BOX BELOW (ONLY ONE PER CLUB) / Please enter below how your work is to be returned
STEPHEN CLIFFORD / Post (remember to enclose your money)
35 RADNOR RISE
HESDNESFORD / Return via one of the collection points
STAFFORDSHIRE / Name
WS12 1LQ
Collect in person from Smethwick PS
(NB Thursday only unless by prior arrangement)

PLEASE ENTER ONLY ONE SECTION PER FORM AND TICK THE APPRORIATE BOX BELOW

Print Sections / Projected Image Sections
Mono / Colour / Nature / XX / Panels / Gen
Digital / Nature Digital
Acc Mark / Acc Mark / Acc Mark / 12 / Acc Mark / Acc
Mark / Acc
Mark

PLEASE PRINT CLEARLY IN BLOCK CAPITALS LISTING AUTHORS IN ALPHABETICAL ORDER

AUTHOR’S NAME & DISTINCTIONS / TITLE (MAXIMUM OF 8 PER AUTHOR) / OFFICIAL USEONLY
Paul Greenfield / IT’S GETTING CROWDED / 12
Paul Greenfield / HEAD ON / 11
Paul Greenfield / G.S.W. ROOM WITH A VIEW / 10
Paul Greenfield / NUTTY / 12

CATALOGUES MAY BE COLLECTED OR WILL BE RETURNED WITH ENTRY

……4………ENTRIES @ 75p
or …………PANELS @ £3.00 / £ 3:00
£ :
TOTAL / £ 3:00

Please make cheques payable to “MCPF”

PLEASE FEEL FREE TO PHOTOCOPY THIS FORM or Download from MCPF website

MIDPHOT 2015 - ENTRY FORM

CLUB/SOCIETY CANNOCK PHOTOGRAPHIC SOCIETY

CONTACT TEL. NO: 01543-876296 / 07881-389131 / Email:
ENTER CONTACT NAME & ADDRESS
WITHIN BOX BELOW (ONLY ONE PER CLUB) / Please enter below how your work is to be returned
STEPHEN CLIFFORD / Post (remember to enclose your money)
35 RADNOR RISE
HESDNESFORD / Return via one of the collection points
STAFFORDSHIRE / Name
WS12 1LQ
Collect in person from Smethwick PS
(NB Thursday only unless by prior arrangement)

PLEASE ENTER ONLY ONE SECTION PER FORM AND TICK THE APPRORIATE BOX BELOW

Print Sections / Projected Image Sections
Mono / Colour / Nature / Panels / XX / Gen
Digital / Nature Digital
Acc Mark / Acc Mark / Acc Mark / Acc Mark / Acc
Mark / Acc
Mark

PLEASE PRINT CLEARLY IN BLOCK CAPITALS LISTING AUTHORS IN ALPHABETICAL ORDER

AUTHOR’S NAME & DISTINCTIONS / TITLE (MAXIMUM OF 8 PER AUTHOR) / OFFICIAL USEONLY
Paul Reynolds / CLOSED FOR BUSINESS / Not / Accepted
Lloyd Scott / SKYE / Not / Accepted

CATALOGUES MAY BE COLLECTED OR WILL BE RETURNED WITH ENTRY

……………ENTRIES @ 75p
or ……2……PANELS @ £3.00 / £ :
£ 6:0000
TOTAL / £ 6:00

Please make cheques payable to “MCPF”

PLEASE FEEL FREE TO PHOTOCOPY THIS FORM or Download from MCPF website

MIDPHOT 2015 - ENTRY FORM

CLUB/SOCIETY CANNOCK PHOTOGRAPHIC SOCIETY

CONTACT TEL. NO: 01543-876296 / 07881-389131 / Email:
ENTER CONTACT NAME & ADDRESS
WITHIN BOX BELOW (ONLY ONE PER CLUB) / Please enter below how your work is to be returned
STEPHEN CLIFFORD / Post (remember to enclose your money)
35 RADNOR RISE
HESDNESFORD / Return via one of the collection points
STAFFORDSHIRE / Name
WS12 1LQ
Collect in person from Smethwick PS
(NB Thursday only unless by prior arrangement)

PLEASE ENTER ONLY ONE SECTION PER FORM AND TICK THE APPRORIATE BOX BELOW

Print Sections / Projected Image Sections
Mono / Colour / Nature / Panels / Gen
Digital / XX / Nature Digital
Acc Mark / Acc Mark / Acc Mark / Acc Mark / Acc
Mark / 12 / Acc
Mark

PLEASE PRINT CLEARLY IN BLOCK CAPITALS LISTING AUTHORS IN ALPHABETICAL ORDER

AUTHOR’S NAME & DISTINCTIONS / TITLE (MAXIMUM OF 8 PER AUTHOR) / OFFICIAL USEONLY
David Byrne EFIAP DPAGB BPE3* / 5 SISTERS PANO / 12
David Byrne EFIAP DPAGB BPE3* / AUTUMN CANOPY / 9
David Byrne EFIAP DPAGB BPE3* / HOAR FROST / 10
David Byrne EFIAP DPAGB BPE3* / RIDING THE EXPLOSION / 11
David Byrne EFIAP DPAGB BPE3* / SPLASH DOWN / 12
David Byrne EFIAP DPAGB BPE3* / TOOTHY SMILE / 10
David Byrne EFIAP DPAGB BPE3* / WATER RODEO / 10
David Byrne EFIAP DPAGB BPE3* / WINTER LIGHT OVER THE MOOR / 13
John Cartlidge EFIAP/P APAGB BPE 4 / MASTER & APPRENTICE / 13
John Cartlidge EFIAP/P APAGB BPE 4 / THE ENGINEERS / 12
Stephen Clifford / BREAKING WAVES / 10
Stephen Clifford / BRUGES AT DUSK / 9
Stephen Clifford / TOP LOCK / 11
Stephen Clifford / PRINCESS OF BURG ELTZ / 10
Paul Hassell / ON THE OUT SIDE / 12
Paul Hassell / AS MORNING BREAKS / 14

CATALOGUES MAY BE COLLECTED OR WILL BE RETURNED WITH ENTRY

……………ENTRIES @ 75p
or …………PANELS @ £3.00 / £ :
£ :
TOTAL / £ :

Please make cheques payable to “MCPF”

PLEASE FEEL FREE TO PHOTOCOPY THIS FORM or Download from MCPF website

MIDPHOT 2015 - ENTRY FORM

CLUB/SOCIETY CANNOCK PHOTOGRAPHIC SOCIETY

CONTACT TEL. NO: 01543-876296 / 07881-389131 / Email:
ENTER CONTACT NAME & ADDRESS
WITHIN BOX BELOW (ONLY ONE PER CLUB) / Please enter below how your work is to be returned
STEPHEN CLIFFORD / Post (remember to enclose your money)
35 RADNOR RISE
HESDNESFORD / Return via one of the collection points
STAFFORDSHIRE / Name
WS12 1LQ
Collect in person from Smethwick PS
(NB Thursday only unless by prior arrangement)

PLEASE ENTER ONLY ONE SECTION PER FORM AND TICK THE APPRORIATE BOX BELOW

Print Sections / Projected Image Sections
Mono / Colour / Nature / Panels / Gen
Digital / XX / Nature Digital
Acc Mark / Acc Mark / Acc Mark / Acc Mark / Acc
Mark / 12 / Acc
Mark

PLEASE PRINT CLEARLY IN BLOCK CAPITALS LISTING AUTHORS IN ALPHABETICAL ORDER

AUTHOR’S NAME & DISTINCTIONS / TITLE (MAXIMUM OF 8 PER AUTHOR) / OFFICIAL USEONLY
Paul Hassell / WHEEL TO WHEEL / 12
Paul Hassell / GOLD IN SIGHT / 14
Paul Hassell / BEFORE THE RACE BEGINS / 12
Paul Hassell / GRIT / 12
Paul Hassell / HOMESTEAD / 10
Paul Hassell / CORNERED / 10
Carl Mason LRPS EFIAP/G DPAGB BPE3 / FOREST FOLK / 14
Carl Mason LRPS EFIAP/G DPAGB BPE3 / REVENUE MEN / 13
Carl Mason LRPS EFIAP/G DPAGB BPE3 / LITTLE MISS / 14 / MCPF Ribbon
Carl Mason LRPS EFIAP/G DPAGB BPE3 / HARD TIMES / 12
Carl Mason LRPS EFIAP/G DPAGB BPE3 / THE ROAD TO LONDON / 12
Carl Mason LRPS EFIAP/G DPAGB BPE3 / THE COUNTRY SEAT / 14 / MCPF Ribbon
Carl Mason LRPS EFIAP/G DPAGB BPE3 / PASSING BY / 12
Carl Mason LRPS EFIAP/G DPAGB BPE3 / THE SOUL HUNTER / 10
Paul Reynolds / SITAR MAN / 12
Paul Reynolds / TOWER BRIDGE / 12

CATALOGUES MAY BE COLLECTED OR WILL BE RETURNED WITH ENTRY

……………ENTRIES @ 75p
or …………PANELS @ £3.00 / £ :
£ :
TOTAL / £ :

Please make cheques payable to “MCPF”

PLEASE FEEL FREE TO PHOTOCOPY THIS FORM or Download from MCPF website

MIDPHOT 2015 - ENTRY FORM

CLUB/SOCIETY CANNOCK PHOTOGRAPHIC SOCIETY

CONTACT TEL. NO: 01543-876296 / 07881-389131 / Email:
ENTER CONTACT NAME & ADDRESS
WITHIN BOX BELOW (ONLY ONE PER CLUB) / Please enter below how your work is to be returned
STEPHEN CLIFFORD / Post (remember to enclose your money)
35 RADNOR RISE
HESDNESFORD / Return via one of the collection points
STAFFORDSHIRE / Name
WS12 1LQ
Collect in person from Smethwick PS
(NB Thursday only unless by prior arrangement)

PLEASE ENTER ONLY ONE SECTION PER FORM AND TICK THE APPRORIATE BOX BELOW

Print Sections / Projected Image Sections
Mono / Colour / Nature / Panels / Gen
Digital / XX / Nature Digital
Acc Mark / Acc Mark / Acc Mark / Acc Mark / Acc
Mark / 12 / Acc
Mark

PLEASE PRINT CLEARLY IN BLOCK CAPITALS LISTING AUTHORS IN ALPHABETICAL ORDER

AUTHOR’S NAME & DISTINCTIONS / TITLE (MAXIMUM OF 8 PER AUTHOR) / OFFICIAL USEONLY
Paul Reynolds / THE BARBERS SHOP / 11
Paul Reynolds / GEORGETOWN GROCER / 12
Paul Reynolds / THE FOOTBRIDGE / 9
Paul Reynolds / BANANA MAN / 12
Paul Reynolds / MR & MRS / 10
Paul Reynolds / RAVAGED BY TIME / 12
Lloyd Scott / THE DARKNESS / 14 / MCPF Ribbon
Lloyd Scott / ALL THE FUN OF THE FAIR / 11
Lloyd Scott / HOMELESS MAN 1 / 11
Lloyd Scott / HOMELESS MAN 2 / 12
Lloyd Scott / NO ESCAPE / 10

CATALOGUES MAY BE COLLECTED OR WILL BE RETURNED WITH ENTRY

………43……ENTRIES @ 75p
or …………PANELS @ £3.00 / £ 32: 25
£ :
TOTAL / £32: 25

Please make cheques payable to “MCPF”

PLEASE FEEL FREE TO PHOTOCOPY THIS FORM or Download from MCPF website