Contrast Submission Slip
Please print this out, fill out all fields below, and return this slip with the work you are submitting to an appropriate location. Paper clips are preferable to staples, for purposes of reproduction.

Title of Work:______________________________________________________________________
                         (or: "Untitled")

Your Name:_______________________________________Phone:___________________________

Address (if you commute and prefer home mail): __________________________________

                                                                      __________________________________

May we keep the original/copy you gave us:    yes  /  no

Is it possible to get a copy of this work on disk:    yes  /   no

Thank you very much for submitting to
Contrast. All submissions are appreciated.
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