Annex 1

　　Entry Form

　　Participant (name or company name): ______________________________________________ 

      ______________________________________________________________________________        

　　Address: ______________________________________________________________________ 

      ______________________________________________________________________________        

　　City: _________________________________________________________________________

　　Postcode: _____________________________________________________________________

　　Country: ______________________________________________________________________

　　Telephone: (country, city, area code) _______________________________________________

　　Fax: __________________________________________________________________________

　　E-mail: ________________________________________________________________________

　　Creator(s): _____________________________________________________________________

　　Professional title: ________________________________________________________________

　　Contact person: _________________________________________________________________

　　Mascot name: __________________________________________________________________　　

        Creative rationale: _______________________________________________________________

        ______________________________________________________________________________    

        ______________________________________________________________________________   

        ______________________________________________________________________________ 

        ______________________________________________________________________________