301 Washington Avenue • Miami Beach • Florida 33139 Phone: 305-672-5044 • Fax: 305-672-5933 Internet: www.jewishmuseum.com Open Tuesdays through Sundays from 10 am to 5 pm Closed on Mondays, Civil and Jewish Holidays

Due August 1, 2006

Name ____________________________________________________________________

Address ___________________________________________________________________

City, State, ZIP ____________________________________________________________

Day Phone __________________________ Evening Phone _______________________

Cell ____________________ Fax _________________ e-mail _____________________

Signature _________________________________________________________________

 Yes, I will participate in the competition to create an original Chanukah Menorah and submit my completed application by October 1, 2006.

 I also recommend contacting the following artists to participate:

Name ____________________________________________________________________

Address ___________________________________________________________________

City, State, ZIP ____________________________________________________________

Day Phone __________________________ Evening Phone _______________________

Cell ____________________ Fax _________________ e-mail _____________________

Name ____________________________________________________________________

Address ___________________________________________________________________

City, State, ZIP ____________________________________________________________

Day Phone __________________________ Evening Phone _______________________

Cell ____________________ Fax _________________ e-mail _____________________

DEADLINE TO CONFIRM PARTICIPATION: August 1, 2006