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Entry Form

Instructions:
Please fill out the entry form completely and accurately.
Use only English to complete the form.
Special characters such as , ; : # & \ / ' will be removed from your input so please avoid use of them.
First name, Last name and Title will only accept a maximum of 35 characters

Notice: When an entrant fills in the Entry Form to submit an entry the entrant will see a feature to affirm he or she has read these Conditions of Entry when he or she fills out the entry form.  If the entrant does not so affirm the entry will not be submitted.

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