2016 Design Awards Registration Form Submit by 5pm, Thursday, February 25, 2016 SUBMITTED BY Firm Name Contact Name ___ Email Phone ___ _ Firm Address __ __ ___ City __________ _ State ________ Zip _________ PROJECT INFORMATION Category of Submission Built Over $5 million ☐ ($200 entry fee) Conceptual ☐ ($150 entry fee) Built Under $5 million ☐ ($175 entry fee) Project Name ___ ___ Project Address _____ City ___ Lot Size (if applicable) State ________ Zip __________ __ _ Building Area (if applicable) ___ Date of Construction/Design Completion (as appropriate to Built/Conceptual) _ _ _ Project Team Credits: Each entrant is responsible for giving proper credit where joint ventures, firm name changes or former partnerships are involved; disputes regarding credits may result in disqualification. Design Team __ Collaborators ___ Owner/Client _____ ___ Photographer Credit ___ ____ ____ By submitting this Form you are hereby acknowledging that this project meets all eligibility requirements as defined by the 2016 AIA Spokane Design Awards submission guidelines. Please e-mail this Registration Form to design_awards@aiaspokane.org. Make checks payable to ‘AIA Spokane.’ Please mail (or deliver) a check for your entry fee by 5pm 2/25/16 to: AIA Spokane Courtyard Office Center 827 W. 1st Avenue, Suite 323 Spokane, WA 99201