2014 NAFHM Runner Shirt Design Contest Official Entry Form

This form must be submitted with design entry in PDF or EPS format. Submissions excluding this form will be disqualified. Entry Deadline: 12:01 AM, Monday, June 30th

Name:____________________________________ Date:_________________ Address:_________________________________________________________ City:_______________________ State:_______ Zip:____________________ Phone:_________________________ Email:_________________________ DoD ID Card Holder: Yes No

I have read, fully understand and will comply with the rules and conditions of this contest. I understand that if my entry is selected as the winner I relinquish all claims to any and all copyrights, royalties and other benefits derived from the sale or reproduction of this work. Signature of Artist:______________________________________________ I specifically authorize Joint Base Anacostia-Bolling, Morale, Welfare and Recreation to display my submission on all social media platforms, website, Facebook, Twitter, Instagram, Pinterest, etc at the direction of Joint Base Anacostia-Bolling, Morale, Welfare and Recreation. Signature of Artist:______________________________________________