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Institution's Name ___________________________________________________
Institution's Address _________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Contact's Name ______________________________________________________
Contact's Title _______________________________________________________
Contact's Telephone _____________________ Fax _______________________
Contact's e-mail _____________________________________________________
Name and Title of CSA Member who was on the Exhibition Team
____________________________________________________________________
Exhibition Title ______________________________________________________
Exhibition Dates _____________________________________________________
Exhibition Location ___________________________________________________
Mail six (6) copies each of the entry form and the materials outlined in the section titled "How To Enter" to:
The Richard Martin Award Committee
Costume Society of America
390 Amwell Road, Suite 402
Hillsborough, NJ 08844
(800) CSA 9447 or (908) 359 1471
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