your entry form - National Rural Health Alliance

PHOTO
AND
POETRY
COMPETITIONS
In conjunction with the 13th
National Rural Health Conference,
Friends of the Alliance is holding
photographic and poetry
competitions to celebrate what you
love about life in rural and remote
Australia.
WHO CAN ENTER?
Entries are open to all members of the rural
and remote community, except professional
photographers and poets. There is a limit of
two entries per participant in each category.
The winners of each category will be
announced at the 13th National Rural Health
Conference in May 2015. There are cash
prizes in both categories.
SHARE YOUR STORY
Photos and poems can be on any subject.
Let yourself be inspired by the People,
Places, and Possibilities of rural and remote
Australia.
JUDGING
Finalists in both categories will be exhibited
at the 13th Conference for judging by
Conference delegates. Entries may be used
in Alliance publications, including Partyline,
the website or calendars.
HOW TO SUBMIT ENTRIES
• Entries must be accompanied by a
completed entry form (overleaf).
• Send your entries to: friends@ruralhealth.
org.au Photographic files should be supplied
in JPEG or .jpg format in high resolution.
• Poetry entries should be supplied in
Microsoft Word format.
• Please scan your completed application
form and send as an attachment with your
email, or fax the application form to (02)
6285 4670.
ENTRIES CLOSE
THURSDAY 9 APRIL 2015
(02) 6285 4660
(02) 6285 4670
friends@ruralhealth.org.au
www.ruralhealth.org.au
PO Box 280 DEAKIN WEST ACT 2600
AND
PHOTO POETRY
COMPETITION FRIENDS OF THE ALLIANCE
1. Contact details
Title:
Mr
Ms
Mrs
Miss
Dr
Other ________________
Given name:
Surname:
Job title:
Organisation:
Postal address:
State:
Postcode:
Telephone:
Mobile:
Email:
2. Consent
I, ____________________________________________ , understand my image/poem will remain the property of the National
Rural Health Alliance and consent to my image/poem being exhibited at the 13th National Rural Health Conference and
published in any future Alliance publications. (For photographs) I have obtained permission from the subject(s) in this
image for such use.
Signed:
Date:
3. Description (photo entries only)
Please provide up to 100 words (of a non-technical nature) that may accompany your image if it is published:
@NRHAlliance
(02) 6285 4660
(02) 6285 4670
friends@ruralhealth.org.au
www.ruralhealth.org.au
PO Box 280 DEAKIN WEST ACT 2600