Positive Eye on Lehigh Acres
Video Contest Submission Form

Please use the form below to register for the Positive Eye on Lehigh Acres Video Contest and to submit (upload) your entry.

All fields marked with a * are required:
 

Full Name*
Street Address*
City State Zip*
Phone Number*
I verify I am at least 18 years of age*
Email Address*
Video Title*
I have Read and Agree to the Contest Terms*
Video Upload MP4 ONLY!*

Contest sponsor:

 

 

 

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