Print this Page out. Then fill it out, sign it, include photograph and send it to: Badger Hardwoods of Wisconsin, N1517 Hwy 14, Walworth, WI 53184 ----------------------------------------------------------------------- Gallery Submission Form ----------------------------------------------------------------------- Last Name: ___________________________ First Name: ______________________ Business Name: ________________________________________________________ Street Address: ________________________________________________________ City: ______________________ State: ___________ Zip Code: ____________ Email Address: _______________________ Phone Number: ___________________ Lumber Species: _______________________________________________________ Project Name & Description (maximum 25 words): _____________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Testimonial (maximum 25 words): ___________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Disclaimer for Gallery Submission: All photographs submitted will become the property of Badger Hardwoods of Wisconsin and the decision to display any work will be at the sole discretion of Badger Hardwoods. Photographs that are accepted will be displayed for approximately six months after which time the entrant may submit another photograph for display. Badger Hardwoods make no representations or warranties regarding the use of submitted photographs or the use and style of its website. I have read the foregoing disclaimer and agree to its terms and provisions. Signature: ________________________________ Date: _____________________