La Foto Gallery 806 Pico Blvd Santa Monica, CA 90405 310.664.1573 310.525.4413 lafoto@lafoto.info CONTEST ENTRY FORM AND IMAGE UPLOAD BOX
This form must be filled for every single entry. We need as much information necessary to contact you. PLEASE! do NOT send us your images by email, upload your photos in the box provided in this page. We will send you a confirmation notice of receipt. Thank You for participating! Llene esta forma para cada entrada. Necesitamos su informacion bien detallada para estar en contacto con usted. POR FAVOR! NO envie ninguna imagen a nuestro correo electronico, usted recibira notificacion por cada imagen recibida. En la pagina de concursos esta la informacion de como enviar las imagenes. Mil Gracias por participar! The fields marked with (*) are required fields. * Choose Your Entry Fee Entry Fee $35 $10 per image thereafter $12 Student fee(must show current ID) * First Name  * required * Last Name  * required * Address  * required * City  * required * State  * required * Zip Postal Code  * required   Country United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaidjan Bahamas Bahrain Banglades Barbados Belarus Belgium Belize Benin Bermuda Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil British Indian O. Terr. Brunei Darussalam Bulgaria Burkina Faso Burundi Buthan Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep. Chad Chile China Christmas Island Cocos (Keeling) Isl. Colombia Comoros Congo Cook Islands Costa Rica Croatia Cyprus Czech Republic Czechoslovakia Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Estonia Ethiopia Falkland Isl.(Malvinas) Faroe Islands Fiji Finland France France (European Ter.) French Southern Terr. Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain (UK) Greece Greenland Grenada Guadeloupe (Fr.) Guam (US) Guatemala Guinea Guinea Bissau Guyana Guyana (Fr.) Haiti Heard & McDonald Isl. Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazachstan Kenya Kirgistan Kiribati Korea (North) Korea (South) Kuwait Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique (Fr.) Mauritania Mauritius Mexico Micronesia Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherland Antilles Netherlands Neutral Zone New Caledonia (Fr.) New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Isl. Norway Oman Pakistan Palau Panama Papua New Paraguay Peru Philippines Pitcairn Poland Polynesia (Fr.) Portugal Puerto Rico (US) Qatar Reunion (Fr.) Romania Russian Federation Rwanda Saint Lucia Samoa San Marino Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa Soviet Union Spain Sri Lanka St. Helena St. Pierre & Miquelon St. Tome and Principe St.Kitts Nevis Anguilla St.Vincent & Grenadines Sudan Suriname Svalbard & Jan Mayen Is Swaziland Sweden Switzerland Tadjikistan Taiwan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu US Minor outlying Isl. Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis & Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe Other * Image Title  * required * Telephone Number  * required * Email Address  * required * Your Comments   Entry Fees 1st Entry $35.00 Each entry thereafter $10.00 Students Fee (Valid ID Required) $12.00 La Foto Member's Fee(Valid ID Required)l) $12.00	Use this box to send us your digital files for any competition by La Foto
	La Foto, Inc - Gallery 806 Pico Blvd Santa Monica, CA 90405 310.525.4413