STILLWELL PRIZE ENTRY FORM 2005


Name________________________________________

Institution______________________Class___________

Address (local)________________________________

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Telephone____________________________________

E-mail_______________________________





Please send this form with the written portion of your entry by 15 March, 2005:

Margaret B. Stillwell Book Collecting Prize Competition 2005
c/o The John Carter Brown Library
Brown University, Box 1894
Providence, Rhode Island 02912