Directory Cover Photo Entry Form

Contact Information

First Name

Last Name

Email Address

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Fair Information

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

UPLOAD YOUR PHOTO HERE Only .jpg and .pdf formats are allowed. Max. 5 MB.

I agree to the Terms

Authorization to Reproduce

Must complete when submitting a photo of an individual): AUTHORIZATION TO REPRODUCE

When children are included in the photograph you MUST supply their names.

This will certify that the person or entity named below consents and authorizes the Florida Federation of Fairs to reproduce the submitted photograph, and that the named will indemnify, defend and hold the Florida Federation of Fairs harmless from any suit, claim or demand arising from the reproduction of the photograph.

Name

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Date

I consent to the reproduction of this photo by the Florida Federation of Fairs

Submit

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