Legal Name:  

Artist Name or Pseudonym (if applicable):

Street Address:

City/State/Zip Code:

Country: 

Telephone #:

or E-mail Address: 

Submission 1

Title:

Medium:

Year completed:

Original's Size (Height x Width in Inches):

Suggested Category Placement:

Submission 2

Title:

Medium:

Year completed:

Original's Size (Height x Width in Inches):

Suggested Category Placement:

Entry fee for one work is $25.00. Entry fee for two entries is $35.00.

Make checks or money orders payable to: TOM OF FINLAND FOUNDATION. Check or M.O. #:
  or
Master Card/Visa/American Express Number:

Expiration Date:

Name on Credit Card (if different from legal name):

Signature:

(Typing your name next to 'Signature' signifies credit card approval.)