WE Magazine for Women Video Competition Entry Form

STEP 2: COPY AND PASTE the following information (between the ——– lines) into the body of an email and submit digitally to heidi@wemagazineforwomen.com with “Video Competition” in the subject line (no later than midnight October 5, 2009). (Copy, paste and complete information between this line and one below)
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Name and contact email of Person Completing Submission (if different than Entrant):
Entrant Name and Company Title or PositionPayPal email of person submitting fee, if different than above (this is very important to match up the entry with payment):

ENTRANT CONTACT INFORMATION
Name
Address
City, State or Provence, Postal Code and Country
Phone number
WEBSITE URL and EMAIL CONTACT INFORMATION (Please include the name of your website or blog and URL as well as your email contact information).

Title of Video:

Submission Category (may submit to more than one category as long as a separate entry fee is paid for each submission):

YouTube Link:

Year Video was produced:

One paragraph description of Video (no more than 150 words)

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Be sure to send your entry to heidi@wemagazineforwomen.com before midnight EST on October 5, 2009