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YOUR INFORMATION
           
  First Name
Last Name
 
  Job Title
(if applicable)
Company
(if applicable)
 
  Street Address:
Town / City  
  State:
Zip Code
 
  Phone:
Email:
 
 

 

Collaborators (if applicable)


 
   
  Preferred Site No. Second Choice  
   
  aaaaa If my preferences are taken, I would like SICA to choose another site they deem appropriate.
   
  aaaaa I do not mind being considered for a fringe site.  
   
YOUR SUBMISSION
 
   
 
Upload your image
 
 
 

AND- if your submission is 3-D you can submit a 2nd view

 
   
  Title
Materials used  
  Date Complete

Size - WxHxDepth (if 3D)
No metric dimensions please

 
   
  A description of your work:  
   
  Additional information to Upload:
(Optional)
 
 
 
   
  Additional Comments: (Optional)  
           


 

PLEASE BE PATIENT - THIS MAY TAKE A FEW MOMENTS TO PROCESS



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