Vote by Mail Ballot (either print or send in a reasonable substitute)

Your Name:

Your phone &/or email (in case we have questions about your ballot):

Instructions: View all the photo entries online or at the shelter. Record the photo number & name of the ones you want to vote for. Vote for as many photos as you want (if you are voting for more than 5 photos, write on the back of this form).

Photo#___Photo name_______________how many votes?____

Photo#___Photo name_______________how many votes?____

Photo#___Photo name_______________how many votes?____

Photo#___Photo name_______________how many votes?____

Photo#___Photo name_______________how many votes?____

Donation $_________

(Your donation should equal the total number of votes cast. For example, if you cast 5 votes for photo #1, 2 votes for photo #2, and 10 votes for photo #3, your total donation will be 5+2+10 = $17.00)

Return completed form with donation (check or money order) to TLC Animal Shelter Photo Contest, 13016 West 151st Street, Homer Glen IL 60491