PSA Exhibition Application Form
For Photo Travel Recognition
- Circuits and Exhibitions -

   
  1. Select number of times the images will be judged: (1 for conventional non-circuit exhibitions or 3, 4, 5, or 6 judgings for circuits).
   
 

2. Number of Photo Travel Projected Image Sections (0, 1, 2, 3, 4 or 5) Per Judging.

   
  3. Number of Photo Travel Print Sections (0, 1, 2, 3, 4 or 5) Per Judging.
   
 

4. Will exhibition accept PayPal?

   
Exhibition Information
     
Enter Your Email Address:
  
Required
Enter Name of Exhibition:
  
Required
Group conducting exhibition:
  
Required
Exhibition's Email Address:  
Required
Exhibition's Web Site URL:  
 
Exhibition Chairman Information
     
Name:
  
Address:
  
City - State/Province:
  
Zip or Post Code:
  
Country:
  
Email Address:
 
 
Address of Person Who Will Receive Exhibition's Medals
Note: If medals go to chairman, write "send medals to chairman" in name box below
     
Name:  
Address:  
City/State:  
Zip/Post Code:  
Country:  
Email Address:
 
 
Exhibition Calendar Information - Please use Month/Day/Year

If date is 24 July 2012, for example, type in 07/24/2012
Format: mm/dd/yyyy
     
Closing Date:
 
Max Days: 14 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:
  Max Days: 10 After Judging - circuits use 1st mailing
Number of Exhibitions:
   2 public exhibitions of acceptances per judging
Mail Slides/Prints:
   Max Days: 77 After Judging
Mail Awards:
  Max Days: 77 After Judging
Mail Catalogs:
  Max Days: 77 After Judging
     
For circuits, please write dates, judging sites, etc. in comment lines below
     
Photo Travel Projected Images Information
Select Projected Image Option Offered ---->

Yes - Digital & Slides
Enter Projected Image "Theme" such as Open/General or
define the theme section (people, structures, markets, etc.).
Section 1: Theme
Section 2: Theme
 
Section 3: Theme
 
Section 4: Theme
 
Section 5: Theme
 
Photo Travel Projected Image Entry Fee Information
in US $ for 1st Section
     
Home Country Entry Fee
 
"Other" Entry Fee
 
     
Photo Travel Prints Information
Enter Print Image "Theme" such as Open/General or
define the theme section (people, structures, markets, etc.).
 
 
Section 1: Theme
 
Section 2: Theme
 
Section 3: Theme
 
Section 4: Theme
 
Section 5: Theme
 
 
Photo Travel Print Entry Fee Information
in US $ for 1st Section
     
Home Country Entry Fee
No Return Prints
"Other" Entry Fee
No Return Prints
     
Home Country Entry Fee
Prints To Be Returned
"Other" Entry Fee
Prints To Be Returned
     

Recognition Fee For Each Section Per Judging is $20
which includes a PSA Gold Medal.

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

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

Silver Medals

PSA Silver Medals - $20 Each:
Click on total quantity desired for all judging(s).
If you do not wish to order PSA Silver Medals, click on 0.
Bronze Medals

PSA Bronze Medals - $20 Each:
Click on total quantity desired for all judging(s).
If you do not wish to order PSA Bronze Medals, click on 0.

PSA Honorable Mention Ribbons

PSA HM Ribbons (each set has 3 ribbons) - $10 Per Set:
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
Nature:
  No
Photojournalism:
  No
Pictorial Prints:
   No
3D:
  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.