AWARDS/EXHIBITION 2006 Online Entry Form
DEADLINE FOR SUBMISSION: March 1, 2006

The jury will base its decision on projects to be awarded by the contents of your submission.
All information on this form must be complete and accurate (please type).

NAME OF PROJECT SUBMITTED: _______________________________________________________
City and State:_________________________Date Designed or Built:__________________________
Is the Project under Construction?:____ Is the Project Completed?:_____Is this an Unbuilt Project?:________
ARCHITECT
Name of Designer/Planer:  _________________
Firm Neme:   __________________________
Addres:   ____________________________
City:     _____________State:____Zip:______
Tel:  _______________ Fax:_____________
E-mail:______________________________
Contact Person:  _______________________
CLIENT
Contact Person:  _______________________
Title:   ______________________________
Firm Neme:___________________________
Addres: _____________________________
City:_______________State:____Zip:______
Tel:________________ Fax:_____________
E-mail: ______________________________
ASSOCIATE ARCHITECT
Name of Architect:  _____________________
Firm Neme:   __________________________
Addres:   ____________________________
City:     _____________State:____Zip:______
Tel:  _______________ Fax:_____________
E-mail:______________________________
Contact Person:  _______________________
CONTRACTOR
Contact Person:  _______________________
Title:   ______________________________
Firm Neme:___________________________
Addres:   ____________________________
City:  ______________State:____Zip:______
Tel:  _______________ Fax:_____________
E-mail:   _____________________________

On a separate sheet, provide same information for subcontractors, engineers, and consultants with firm names, addresses, telephone and fax numbers. All information must be complete. Attach to this sheet.

PAYMENT           ENCLOSED IS MY CHECK IN THE AMOUNT OF $ _____________
VISA/MASTERCARD/AMERICAN EXPRESS ______ EXPIRATION DATE ______ ACCOUNT #__________
CHECKLIST
___ Entry Fee $175.00 per project submitted.
___  (3 - 5) 35mm color slides per project submitted.
___  Black and white floor plan (s) drawings
           (8 1/2 x 11").
___ One page project description.
___ (2 - 3) Black/White or color photographs per
        project submitted. (Please label slides and
        photographs with firm name and project name).

Send Application and materials to: The Chicago Athenaeum, 601 South Prospect Street, Galena, IL 61036. Direct any questions to Tel: 815/777-4444 and Fax: 815/777-2471.

DEADLINE: MATERIALS MUST BE DELIVERED OR POSTMARKED BY APRIL 1, 2005.

* Selections will not be reviewed if all of the requested items on the checklist are not included. ** Submissions are not returnable. If you plan to enter more than one (1) project, submit a separate photocopied application form with each submission.

 

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