Lush Beads Ugly Necklace Contest II 2010
Submission Form



Your real name: ____________________________________________________________

Phone Number: ______________________________________________________________

Email: _____________________________________________________________________



Name of Ugly Necklace (required): __________________________________________


Your name, as it should appear on the Ugly Necklace display (Leave this 
blank if you want us to use your real name): _______________________________

____________________________________________________________________________


Materials used in your necklace: ___________________________________________

____________________________________________________________________________



What was your inspiration for this piece? : ________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________




I understand that my piece will be on display at the Western Avenue
Studios building for 2-3 days.  I understand that my name (as provided
above) will be on it.  I understand that some poor, sick soul may try
to steal or damage my ugly necklace, and I will not hold Lush Beads or
its employees liable if this happens.  I understand that I can pick up
my necklace after the announcement of the winners on Saturday, May 1,
2010.  I understand that should I neglect to retrieve my ugly necklace
within 30 days of the end of the contest, it will be sold to gypsies.



Signature (entry cannot be accepted without signature):

____________________________________________________________________________



Date: _________________________________________