Designer Entry Form

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Design Title

Description

Design Category

Market Segment? (Check all that apply)*

Describe the concept or inspiration behind your design

List the materials used in your design

Provide dimensions of your design if applicable

Upload files of your design (images, sketches, etc.)

Specify the file format of your design

Other

Agreement:

By submitting this form, I acknowledge that I am the original creator of the design submitted. I grant permission to the organizers of the competition to use images of my design for promotional purposes related to the competition. I also agree to abide by all rules and regulations of the competition.