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Entry Form

This week is for GLITZ HEADSHOTS Only!
All types of natural photos accepted. Contestants must have never won a cash prize of OVER $200 to be eligible to enter this week.

Contestant's Name

Age Birthdate

Email :

Street Address

City State Zip

Phone (Optional)

Main Entry $15
extra Photo $10 each
UNLIMITED Photos $35

Total
Total Number of Photos

I will send my fees to Xpress2Cash@aol.com.

Please add any comment(s) you have below :

By signing this entry form, I understand that the Judges will remain anonymous and all decisions are final. I understand that by entering this contest I am giving permission for my child's winning photo to be used for promotional advertising related to this contest only, on or off the Internet.

Signature Date