Deadline for entry is August 15, 2010

This year the Rescue Calendar theme is TOLLERS ON VACATION.

2011 Rescue Calendar Photo Contest

NOTE: Items marked with an asterisk (*) are required.

Contact Information

Full Name:

First *

Last *

Email: *

Phone #:

( )

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Kennel Name: If applicable.

Address

Street Address *

Address continued

City *

State * Please select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau OTHER If outside the US, choose 'OTHER' at the end of the list.

Zip *

Country Please select... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos ( Keeling ) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d ' Ivoire Croatia ( Hrvatska ) Cuba Cyprus Czech Republic Congo ( DRC ) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands ( Islas Malvinas ) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Samoa San Marino São Tomé and Prìncipe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands ( British ) Virgin Islands Wallis and Futuna Yemen Zambia Zimbabwe

File Upload

Registered Name: *

Call Name: *

Add File File size limited to 2 Mb.

Comments:

Authorization

I have read and understand the Contest rules.  The picture(s) I am submitting are amateur photos.  I understand that the photo(s) will not be returned unless I have included a self addressed, stamped mailer.  I further understand and give permission for the photo(s) to be used in the Toller Rescue Calendar, published on the NSDTRC (USA) website, and/or possibly used in other NSDTRC (USA) projects.

I have submitted my entry electronically and will mail a check/money order (US funds) to Janis Dibert.  I understand that my entry is not valid until payment has been received 

Signature: * Your Electronic Signature

Captcha

Please enter the characters you see in this picture:

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This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen.
Can't see the image? Click here for an audible version in English.

Need assistance with this form?

Do You Have Multiple Photos You Wish to Enter?

1. To save some time, after you have submitted your entry and you were directed to the Rescue Merchandise page, use your browser "back" button twice.  This will get you back to the Entry form which should have all the information you submitted.
2. At this point click on the "refresh" button for your browser.  You MUST do the refresh.
3. Then enter the information related to the next photo you want to enter and submit.  Don't forget to upload the new photo. You can do this multiple times.  This will save you from having to enter your information and address multiple times.
4. Don't forget to pay.

How to Pay for Your Entries

Please PRINT the autoresponse email(s) you received after submitting your entry form(s) and send along with your payment ($10/entry) to:
Janis Dibert
571 Rock Spring Road
Bumpass, VA 23024

Make check/money order (US funds) payable to NSDTRC (USA). If submitting more than one entry, it's okay to write just one check.