............................. ( cut here ) ................................. MEDJUNARODNI SALON UMETNICKE FOTOGRAFIJE NOVA F'96 INTERNATIONAL SALON OF ART PHOTOGRAPHS NEW PHOTOGRAPHY 96 PRIJAVNI LIST / ENTRY FORM Name (Ime): _______________________ Surname (Prezime): _______________________ Address (Adresa): _________________________________ City (Grad): _____________ Country (Drzava): ______________________ Club (Klub): _________________________ +------------------------------------------------------------------------------+ | Works / Radovi | +----+-------------------------------------------------------------------------+ | No | Title / Naslov | Subject / Tema | Don't fill / Ne popunjavati | | | | |------------------------------+ | | | | No | A | B | Nagrada | +----+-----------------------+------------------+------------------------------+ | 1.| | | | | | | +----+-----------------------+------------------+-------+-----+-----+----------+ | 2.| | | | | | | +----+-----------------------+------------------+-------+-----+-----+----------+ | 3.| | | | | | | +----+-----------------------+------------------+-------+-----+-----+----------+ | 4.| | | | | | | +----+-----------------------+------------------+-------+-----+-----+----------+ | 5.| | | | | | | +----+-----------------------+------------------+-------+-----+-----+----------+ | 6.| | | | | | | +----+-----------------------+------------------+-------+-----+-----+----------+ | 7.| | | | | | | +----+-----------------------+------------------+-------+-----+-----+----------+ | 8.| | | | | | | +----+-----------------------+------------------+-------+-----+-----+----------+ I authorize the reproduction of my works in accordance to the bases of this Salon. Signature / Potpis (Pristajem da se moji radovi koriste u skladu sa propozicijama ovog salona.) ______________________ Address: FOTO KINO KLUB NOVI BEOGRAD BULEVAR AVNOJ-a 166, P.P. 131 11070 BEOGRAD (BELGRADE) YUGOSLAVIA ............................. ( cut here ) .................................