CVC Contest Form – Community Outreach

Contest Entrant and Declaration Release Form – Community Outreach

Name(Required)
Address(Required)
Prize: The Prize, as described in the official contest rules & regulations.
Clear Signature
MM slash DD slash YYYY
For the Selected Entrant to be awarded the Prize, this form must be duly signed and submitted by Draw Date deadline.
This field is for validation purposes and should be left unchanged.

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