MIDAPHIL 2003
Online Entry Form

SPECIAL NOTE:
If you wish to MAIL in your entry form rather than use the online form that appears here, please print out the entry form, fill it in and send with your entry fee to:

Scott Couch
MIDAPHIL Chairman
 4120 NW 79th Street, Apt. 4
Kansas City MO  64151

Title of Exhibit and Brief Description:

 
          Number of 16-Page Frames Required:            
          Enter my exhibit in the following section:           
          I will MAIL IN my exhibit to you (Yes/No) :           
          I will bring my exhibit personally to the show:    

I have read and agree with the regulations for MIDAPHIL exhibitors
and herewith submit my entry for your 2003 exhibition:

Name     
E-mail    
Phone    
FAX       
Address     
City/State/Zip
SPECIAL NOTE: As soon as we have received your entry (which will be transmitted to us instantly), we will respond so that you may send your entry fee to us ($8.00 per frame---no entry fee for youth exhibits). Please feel free to also submit any questions you may have in the space below:
 

Questions:

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