STAMP ACTIVE COMPETITION 2012

Sponsored by The Great Britain Philatelic Society 

ENTRY FORM 

Please complete in full using BLOCK CAPITALS.

 Full name  ………………………………………………………………………

Address .............................................................................................................................. ……………….…………………………………………………………………………

Post code  ……………………….

Home telephone number  …………………………………………

E-mail address  ……………………………………………………

Age as at 1 January 2012  ………….. 

I wish to enter the following ONE class (please tick relevant box):

Class A (14 to 16 years old)                   [    ]       Class C (10 and 11 years old)      [    ]

Class B (12 and 13 years old)              [    ]       Class D (under 10 years old)         [    ]

Title of entry  ……………………………………………………………………

 Is this entry of One Country [   ], Thematic [   ], or Open [    ] (please see rules)? 

Brief description of entry (no more than 15 words)

 …………………………………………………………………

…………………………………………………………………………………………………………………

Has this entry, and a part thereof, been entered into another competition? If ‘yes’,

please give details of the two most recent, and the awards received:

 ……………………………………………………………………

………………………………………………………………………………………………………………

Number of sheets being entered (note that the minimum number is 4)  ……………

To be signed by parent, guardian or stamp club leader:

I confirm that the entrant understands the rules of the competition, and that this entry

is the sole work of the entrant. 

Signed ……………………………………. (Position: ………………………………)

Please tick this box if you prefer that the name of the entrant is NOT included in any publicity relating to this competition       [   ]

Please tick if the entrant will be at Spring Stampex on 25 February 2012 [   ]