2023 MAMI Photo Contest Entry Form
Full Name (person submitting photo)
*
First Name
Last Name
Parent/Guardian: If submitting a photo for someone under 17 years old, please enter: the name and age of the minor photographer.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
E-mail
*
example@example.com
Category
*
Please Select
Non toxic; 20 genera allowed to be sold in the Wild-foraged Mushroom Certification program
Toxic; Amatoxin, Coprine, Cortinarius, Gyromitrin, Ibotenic Acid, Muscarine, Muscimol, Unknown toxin
Other
Title
*
Upload Photo
*
Upload a File
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of
Picture Number/Camera Roll Number
*
Description; Date (approximate is acceptable) photo was taken, County in which the mushroom was observed, habitat, substrate, etc.
*
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