Name __________________________________________________

Address:

Street ____________________________________________

City __________________________________

State _______________________Zip________

Phone No _______________________________

E-mail address ___________________________

Division entered (please check one) (all entries must be in the same division)

Novice ____

Intermediate ____

Open ____

Entries:

Category #______ Name of Piece __________________________________________

Entry fee is $2.00 per entry with a maximum of $10.00 for members, $4.00 per entry with a maximum of $20 for non-members.

Make checks payable to: James River Woodcarvers

Mail checks to:

Ron Ulmer

13112 Trinity Place

Richmond, Va. 23233

If you would like you may email all the above information to Ron Ulmer at rucrvn2@verizon.net. Email registration will be acknowledged by email. Upon receipt of entry fees, entry tags will be returned by mail.

Please submit questions or comments to Ron Ulmer at rucrvn2@verizon.net or call 804-360-5239.

File Name: Entry Form 2010 Rev 1.doc