Canon Par Excellence Award 2012 Application PPA District Name: ________________________________________________ Date of District Imaging Competition: _________________________________________ Location of Competition: _____________________________________________________ Date of Award Ceremony: ____________________________________________________ Location of Award Ceremony: ________________________________________________ A Canon Representative will present the Canon Par Excellence Award. District to provide 2 tickets to the Awards Ceremony. Check which categories apply: ____ “Photographic Open” District Competition ____ “Electronic Imaging” District Competition ____ “Commercial” District Competition PPA District Contact Information: Name: ____________________________________ Address: __________________________________ __________________________________ Phone: ____________________________________ E-Mail: ___________________________________ We agree to follow the eligibility and criteria for this award set by Canon U.S.A., Inc. District approval: Approved By _____________________________ Please submit application by February 1, 2012 via email to: mmannix@cusa.canon.com Mary T. Mannix Professional Market Specialist Canon U.S.A 513-519-6631
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