Jack Sprosen Memorial Trophy Entry Form

First Name:*

Last Name:*

Photographic Honours:

Maximum of 3, please type none, if no honours

Primary Club/Society:

Type None if not affiliated with a club

Address*

Street Address

Street Address Line 2

CityCountry

Postal / Zip Code

Phone Number:

Full PSNZ Member:*

YesNo

Email*

example@example.com

Are you a novice in this competition? (You have not received an award or Merit certificate in a previous JSMT competition)*

YesNo

AV 1 Title: (Maximum 36 characters)*

Total Length of AV 1:

Image representing AV 1 (Ensure file name is same as AV title): *

Browse Files

AV 2 Title: (Maximum 36 characters)

Total Length of AV 2:

Image representing AV 2 (Ensure file name is same as AV title):

Browse Files

List any acknowledgements that have not been included on your programme/s for confidentiality reasons.

The submission of an entry implies the acceptance of the competition rules including copyright requirements as set out in the PSNZ Bylaw and permission for the entry to be shown at the upcoming PSNZ National Convention.

Permission is requested for successful AVs to be held by the JSMT Co-ordinator and shown at Regional Conventions or at a club which requests it (All reasonable precautions will be made to protect the programme from any other use.)

I give permission for AV 1:*

YesNo

I give permission for AV 2

YesNo

Please do not click the submit button more than once. It may take a while for your images to be uploaded.

Payment and sending AVs:

After submitting your entry form, you will receive an email acknowledging its receipt and providing information about sending your AV and how to pay

If you require assistance contact Trish at mcauslanav@gmail.com