CONTEST ENTRY FORM
I am a resident of Ottawa or Lucas County and
give permission to exhibit my photo in the
2007 calendar and to use it for publicity purposes.

Name _______________________________________

Address _____________________________________

City _________________  State ______ Zip ________

Phone (Day) ____________  (Evening) _____________

Title of Photo __________________________________

Signature _____________________________________

Send Entries To: Calendar Photo Contest
Ottawa County EMA, 315 Madison Street
Port Clinton, OH 43452-1936
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