Contest Release Form
 
First Name:________________________________________________________
(Required)
Last Name:________________________________________________________
(Required)
Mailing Address:____________________________________________________
(Required)
City, State Zip______________________________________________________
(Required)
Phone Number:_____________________________________________________
(Required if no E-mail Address)
E-Mail Address:____________________________________________________
(Required if no Phone Number)
 
 
I, ___________________________________________________________
(Please Print)
give Stamping Jazzy Style to post the photo of the art piece I'm entering in the contest for marketing purposes.
 
 
 
_______________________________________________________
(Signature)(Date)