ENTRY FORM (copy as needed) SEND THIS FORM WITH ENTRY FEE TO: Carolyn Lancet Department of Drama University of Texas at Austin Austin. TX 78712 Designer: Title of Production: Produced by: Dates of Production: Place of Production: NOTE: UPS RETURN LABEL ADRESS TO: name: street: city. state. zip: phone: (_) _ PLEASE CHECK THE APPROPRIATE CATEGORIES Division: a. Undergraduate Division b. Member Graduate Student Division c. Member Designer Division d. Non-Member Designer Division e. Non-produced Design Division Fees: Student Designs (flO each) - - Me'mber Designs ($20 each) $ $ --$ $ -- TOTAL * Fill out Vita Form on reverse side Category: Type: Non-Member Designs ($40 each) Project Designs ($40 each) a. b. c. d. e. a. b. c. d. Theatre Television Film Theme Park Industrial Show Scenery Design Costume Design Lighting Design ) Other ( -- * $ If you are entering more than one design aspect from a single production. you must submit entry fees for each area. I have attached my return mailing label to the back of each piece of my entry. I understand that. if selected for display at the Fourth Biennial Scenography Exposition. my entry will be used as the committee sees fit in further expositions until July. 1990. I understand that all entries not chosen for display at the Fourth Biennial Scenography Exposition will be returned via United Parcel Service. insured for $200.00 per entry. leaving Paramus~ New Jersey before February 1. 1986. My Design Entry (not this form) will be shipped to: Jared Saltzman Fourth Biennial Exposition Bergen Community College 400 Paramus Road Paramus. New Jersey 07652 by UPS. if possible. on: Shipping date I do do not wish to receive a transcription of the adjudicators' responses to' my entry. I understand that Purchase Prizes will be offered to some of those chosen for the Fourth Biennial Scenography Exposition. (Prizes for the Third Biennial ranged from $300 to $800.) Please check the appropiate line and sign below. 1 will be happy accept any of the Purcha~e Prizes. I would only accept a Purchase Prize Qf $ or more. I would NOT be willing to accept any Purchase Prizes. (over) Signature ----------- Date -------