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STORY CHOSEN Name of the story : Reason for the choice : ARTWORK PRESENTED Medium chosen : Name of the artwork : Brief presentation of the artwork : IDENTIFICATION Country of residence : First name/last name : Date of birth : Parents name (for student under 18) : Home address : Home phone number : Email (if available) : School name/address : Supervising teacher (optional) : I agree to comply to the rules of the competition printed in the last pages of the book (Tales: From A Distant Planet) and grant all rights to French Connection Press for reproducing my artwork if it wins the contest and for announcing my name to the press and media in return for my winner's certificate, autographed copy of the book and $100 (US dollars) gift certificate. |
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| Date and signature | |
Date and signature of the parents (for students under 18 only) |
SEND TO: French Connection Contest 12 rue Lamartine 75009 Paris FRANCE |