Magic Entry Form Please fill out the form below and print your name on each CD, DVD or slide. Up to 10 images can be submitted. Be sure to include complete information for each picture you submit. Send your entry to: Wm. K. Walthers, Inc. Attn: Lance Burton - Magic Entry P.O. Box 3039 Milwaukee, WI 53201-3039 Name: __________________________________________________________________________ Address: _______________________________________________________________________ City, State, Zip: ______________________________________________________________ Phone: ____________________________ Email:____________________________________ Scale: _______________ Image Information: Image Name _____________________________________________________________________ Modeler(s) _____________________________________________________________________ Photographer ___________________________________________________________________ Description of Scene ___________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Image Name _____________________________________________________________________ Modeler(s) _____________________________________________________________________ Photographer ___________________________________________________________________ Description of Scene ___________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Image Name _____________________________________________________________________ Modeler(s) _____________________________________________________________________ Photographer ___________________________________________________________________ Description of Scene ___________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Image Name _____________________________________________________________________ Modeler(s) _____________________________________________________________________ Photographer ___________________________________________________________________ Description of Scene ___________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________