2nd international exhibition FIAP 2018-018 2nd international exhibition PSA 2018-016 41e national exhibition FPF 2018-02 of Groupe Photo Région Vernon "Photographic Exhibition in Vernon Normandy" Club & Group Family & first Name Name (club & Group) Adress (Str.) Postal code City State / Province Country Phone E-mail

Entry Fees

Optional return of prints

(*)Reduced rate for members FPF Fédération Photographique de France

1 section 2 sections 3 sections Number of participants Total

I do not demand the return of my prints will be destroyed

All countries

Members FPF(*)

15 €

12 €

I request the return of my prints and calculates the amount of postage attached to the shipment

return fees 0€

0€

Total Entry Fees + Charge for return of prints bank transfer PayPal Total =

CLOSING DATE

account: FR76 1830 6002 3203 9421 6300 183 [email protected]

0€

Groupe Photo Région Vernon 34, Rue du Coq 27200 VERNON - France

12 FEBRUARY 2018

http://gprv.free,fr Contact : [email protected]

Entry Form 2nd international exhibition FIAP 2018-018 2nd international exhibition PSA 2018-016 41e national exhibition FPF 2018-02 of Groupe Photo Région Vernon Author Family & first Name N° FPF

Distinctions E-mail

M - Monochrome prints - General Theme M1 M2 M3 M4

J - Monochrome prints - Journalism Theme J1 J2 J3 J4

C - Coulor prints - General Theme C1 C2 C3 C4

Author Family & first Name N° FPF

Distinctions E-mail

M - Monochrome prints - General Theme M1 M2 M3 M4

J - Monochrome prints - Journalism Theme J1 J2 J3 J4

C - Coulor prints - General Theme C1 C2 C3 C4

Author Family & first Name N° FPF

Distinctions E-mail

M - Monochrome prints - General Theme M1 M2 M3 M4

J - Monochrome prints - Journalism Theme J1 J2 J3 J4

C - Coulor prints - General Theme C1 C2 C3 C4 Duplicate or print as necessary