CACY's
BE TOBACCO FREE!
Cartoon Contest
.
ENTRY FORM
COMPLETE IN FULL AND PRINT THIS FORM
Entry deadline April 30, 2004
Mail or deliver it with your cartoon(s) to:
CACY
1495 West Longview Ave. Suite 104
Mansfield, Ohio 44906

This form can be printed and copied for group use.
Handwriting must be legible or the entry will not be accepted.


Name:
Age: Date of birth:
Address:

City: State:
Zip Code:
Telephone: Email:
(If applicable) School: Grade:

I, the undersigned, have read and fully understand the Contest Rules. I also understand that this application must be filled out in full and enclosed with my entry.

Signature of Entrant ______________________________ Date:______________

Parent or Guardian Name - If entrant is under 18 years old at the date of signing:

Signature of Parent or Guardian _______________________________________
Date:______________


Questions? Please e-mail MoodyK@cacyohio.com




RULES
Front Page


.