2006 "Your Design Here" Contest Entry Form

2006 Entry Form

Name:				Business Name:
R&T Account #:
Address:
City:				State or Province:
ZIP or Postal Code:				Country:
E-mail Address:				Phone:
Title of Piece:
Category: (please circle)	Glass	Gemstones	Nature	Mostly Metal	Polymer Clay	Metal Clay	Alternative Materials
Size:(physical dimensions of piece)
List of Materials/Parts:(include R&T stock number; use additional paper if necessary)
Story of Your Design: On a separate piece of paper, describe how you were inspired to make this piece, the process you used, how long it took, obstacles you encountered, and anything else that would help us better appreciate your piece. The more interested we are in your piece, the better your chances of winning! Descriptions might be edited for clarity.
I have read the contest guidelines and agree to them. Signature:							Date:

Type or print legibly.
Please remember to include an image of your piece with your entry.