PLEASE PRINT LEGIBLY!!

Name:
Street Address:
City/State/Zip:
Home Phone:	Work Phone:
Email:

Please inform Beneath The Sea immediately of any change in address or phone number after entries have been submitted.

If you wish to join the Beneath the Sea mailing list, visit http://BeneathTheSea.org/mailingList.html. (Names will not be sold or traded.)

I hereby certify that I and these entries meet all qualifications noted in the rules. I understand that if I do not meet these qualifications, my entry will be rejected.

Signature:

Titles Of Entries

Video

Title:

Equipment Used:

Slides (maximum of six)

Title	Category* (circle)
1.	A B C D E F G H
Equipment used:
2.	A B C D E F G H
Equipment used:
3.	A B C D E F G H
Equipment used:
4.	A B C D E F G H
Equipment used:
5.	A B C D E F G H
Equipment used:
6.	A B C D E F G H
Equipment used:

*A=General; B=Marine Life; C=Macro; D=Closeup; E=Northeast Cold Water; F=West Coast Cold Water; G=Cold Water Wreck Diving; H=Blue Water Wreck Diving. More complete descriptions can be found in the photo contest rules.