PSA Exhibition Application Form
For Nature Recognition
- Circuits and Exhibitions -

1. Select Number of Judgings (1 judging for conventional non-circuit exhibition,
or 3, 4, 5 or 6 judgings for circuits).

2a. Number of Nature Projected Image Sections (1 or 2) Per Judging.
2b. Number of Nature Print Sections (1 or 2) Per Judging.
3. Will exhibition accept PayPal?
     
Enter Your Email Address:
  
Enter Name of Exhibition:
  
Group conducting exhibition:
  
Exhibition's Email Address:  
Exhibition's Web Site URL:  
 
Address of Person Who Will Receive Exhibition's Medals
Name:  
Address:  
City/State:  
Zip/Post Code:  
Country:  
 
Exhibition Chairman Information
Name:
  
Address:
  
City - State/Province:
  
Zip or Post Code:
  
Country:
  
Telephone Number:
 
Email Address:
 
 
Exhibition Calendar Information - Please use Month/Day/Year

If date is 24 July 2011, for example, type in 07/24/2011
Format: mm/dd/yyyy
     
Closing Date:
 
Maximum: 14 Days Before Start of Judging
Start of Judging Date:
  For circuits, use first day of first judging session
End of Judging Date:
  For circuits, use last day of last judging session
Mail Report Cards:
  Maximum: 10 Days After Judging - circuits use 1st mailing
Number of Exhibitions:
   Minimum: 2 public exhibitions of accepted work per judging
Mail Slides/Prints:
   Maximum: 77 days After Judging
Mail Awards:
  Maximum: 77 days After Judging
Mail Catalogs:
  Maximum: 77 days After Judging
     
For circuits, please write dates, judging sites, etc. in comment lines below
     
     
Select Projected Image Option Offered ---->


Yes - Slides & Digital
Nature (Projected Images) Information - Section 1
Enter Open/General (in box below) or if you will be offering two theme sections,
please define the first theme section ((wildlife, insects, botany, etc.).
   

Nature (Projected Images) Information - Section 2

Note:
A 2nd nature projected image section means exhibitors will be able to
submit 4 projected nature images in the 1st projected nature section
and 4 additional projected nature images in the 2nd projected
nature section for a total of 8.

In box below, please define the theme
(wildlife, insects, botany, etc.).
Nature Projected Image Entry Fee Information
   

North American Entry Fee In USD

"Other" Entry Fee In USD
 
Nature (Prints) Information - Section 1
Enter Open/General (in box below) or if you will be offering two theme sections,
please define the first theme section ((wildlife, insects, botany, etc.).
   

Nature (Prints) Information - Section 2

Note:
A 2nd section means exhibitors will be able to submit
4 nature prints in the 1st nature print section and 4 additional
nature prints in the 2nd nature print section for a total of 8.

In box below, please define the theme
(wildlife, insects, botany, etc.).
Nature (Prints) Entry Fee Information
"No Return Prints"

North American Entry Fee In USD

"Other" Entry Fee In USD
     
Nature (Prints) Entry Fee Information
"Return Prints"

North American Entry Fee In USD

"Other" Entry Fee In USD
 

Recognition Fee For Each Section Per Judging is $20.

Select the total number of medals/ribbons you
wish to award.

The web page will calculate the total medals/awards and fees.

Gold Medals

PSA Gold Medals:
Click on total quantity desired for all judging(s).
If you do not wish to order PSA Gold Medals, click on 0.

Nature Division Gold Medals:
Click on total quantity desired for all judging(s).
If you do not wish to order Nature Division Gold Medals, click on 0.

Silver Medals

PSA Silver Medals:
Click on total quantity desired for all judging(s).
If you do not wish to order PSA Silver Medals, click on 0.

Nature Division Silver Medals:
Click on total quantity desired for all judging(s).
If you do not wish to order Nature Division Silver Medals, click on 0.

Bronze Medals

PSA Bronze Medals:
Click on total quantity desired for all judging(s).
If you do not wish to order PSA Bronze Medals, click on 0.

Nature Division Bronze Medals:
Click on total quantity desired for all judging(s).
If you do not wish to order Nature Division Bronze Medals, click on 0.

PSA Honorable Mention Ribbons

PSA HM Ribbons (each set has 3 ribbons):
Click on total ribbon sets desired for all judging(s).
If you do not wish to order HM Ribbons, click on 0

If you have additional requirements or questions regarding medals,
please explain in box shown below.
     
 
Please Click "Yes" or "No" For Sections Offered
   
Color Projected Image:
  No
Electronic Imaging:
  No
Photo Travel:
  No
Photojournalism:
  No
Pictorial Prints:
   No
Stereo:
  No
   

If You Will Be Paying For Recognition Fee and Medals/HMs With PayPal,
Please Indicate (below) "PayPal"

If you will pay some other way,
please indicate when and how you will pay.