Print Fellow Form

PPANM Print Fellow Online Form

Professional Photographers Association of New Mexico

Print Merits Earned

The is to reward PPANM members for meritorious achievements in PPANM Print Competition.The requirements to qualify for this award are to earn 25 print merits in PPANM print competition calculated by the following:

Print & Sign the Completed Form.

Please mail to: PO Box 3125, Albuquerque, NM 87190 and bring your signed copy to the Convention.

Name

Address

City State Zip

Home Phone Work Phone

Web site

Email Address

Please Fill Out a form for each year. Check all that apply:

Print Competition Year Applying For

For Each Entry receiving a score of 80-89 - 1 Merit Each

Please list each Entry Title followed by its Score:

For Each Entry receiving a score of 90 or more - 2 Merits Each Please list each Entry Title followed by its Score:

For Each Entry receiving a Distinguished Print Award - 1 Merit Each. Please list Each Entry Title and Category:

For Each Entry receiving a Best Category Award - 1 Merit Each

Please list Each Entry Title and Category:

Receiving the Best of Show Award - 1 Merit

Receiving the "Photographer of the Year Award" - 1 Merit

Total PPANM Print Merits Earned

By Checking this box I Certify that I have earned the above listed Print Merits and that my signature will be required before they are approved.

*Documentation may be required and shall consist of: Entry Forms with Scores, Print Corners with Scores, Distinguished Print Award Certificates, Plaques or Ribbons of the Same, or any other information that will help to determine if the print merits are legitimate.

Please Print this form before submitting.