{"id":11290,"date":"2012-08-02T19:38:44","date_gmt":"2012-08-03T00:38:44","guid":{"rendered":"http:\/\/thelehighacresgazette.com\/news\/?page_id=11290"},"modified":"2012-08-03T21:44:13","modified_gmt":"2012-08-04T02:44:13","slug":"positive-eye-on-lehigh-acres-video-contest-submission-form","status":"publish","type":"page","link":"https:\/\/thelehighacresgazette.com\/news\/positive-eye-on-lehigh-acres-video-contest-submission-form\/","title":{"rendered":"Positive Eye on Lehigh Acres <BR>Video Contest Submission Form"},"content":{"rendered":"<p><span style=\"font-family: arial; font-size: medium;\"><strong>Please use the form below to register for the Positive Eye on Lehigh Acres Video Contest and to submit (upload) your entry.<\/strong><\/span><\/p>\n<p><center><span style=\"font-family: arial; font-size: small;\"><strong>All fields marked with a * are required:<\/strong><\/span><\/center>&nbsp;<br \/>\n<center><\/p>\n<form action=\"process.php\" method=\"post\" enctype=\"multipart\/form-data\">\n<table width=\"70%\" border=\"0\">\n<tbody>\n<tr>\n<td bgcolor=\"#C0C0C0\">Full Name<span style=\"color: #ff0000;\">*<\/span><\/td>\n<td bgcolor=\"#C0C0C0\"><input type=\"text\" name=\"FullName\" \/><\/td>\n<\/tr>\n<tr>\n<td bgcolor=\"#CCCCCC\">Street Address<span style=\"color: #ff0000;\">*<\/span><\/td>\n<td bgcolor=\"#CCCCCC\"><input type=\"text\" name=\"StreetAddress\" \/><\/td>\n<\/tr>\n<tr>\n<td bgcolor=\"#C0C0C0\">City State Zip<span style=\"color: #ff0000;\">*<\/span><\/td>\n<td bgcolor=\"#C0C0C0\"><input type=\"text\" name=\"CityStateZip\" \/><\/td>\n<\/tr>\n<tr>\n<td bgcolor=\"#C0C0C0\">Phone Number<span style=\"color: #ff0000;\">*<\/span><\/td>\n<td bgcolor=\"#C0C0C0\"><input type=\"text\" name=\"CPhoneNumber\" \/><\/td>\n<\/tr>\n<tr>\n<td bgcolor=\"#CCCCCC\">I verify I am at least 18 years of age<span style=\"color: #ff0000;\">*<\/span><\/td>\n<td bgcolor=\"#CCCCCC\"><input type=\"checkbox\" name=\"IverifyIamatleast18yearsofage\" \/><\/td>\n<\/tr>\n<tr>\n<td bgcolor=\"#C0C0C0\">Email Address<span style=\"color: #ff0000;\">*<\/span><\/td>\n<td bgcolor=\"#C0C0C0\"><input type=\"email\" name=\"EmailAddress\" \/><\/td>\n<\/tr>\n<tr>\n<td bgcolor=\"#CCCCCC\">Video Title<span style=\"color: #ff0000;\">*<\/span><\/td>\n<td bgcolor=\"#CCCCCC\"><input type=\"text\" name=\"VideoTitle\" \/><\/td>\n<\/tr>\n<tr>\n<td bgcolor=\"#C0C0C0\">I have Read and Agree to the Contest Terms<span style=\"color: #ff0000;\">*<\/span><\/td>\n<td style=\"text-align: left;\" bgcolor=\"#C0C0C0\"><input type=\"checkbox\" name=\"IhaveReadandAgreetotheContestTerms\" \/><\/td>\n<\/tr>\n<tr>\n<td bgcolor=\"#CCCCCC\">Video Upload <font color=\"red\">MP4 ONLY!<\/font><span style=\"color: #ff0000;\">*<\/span><\/td>\n<td bgcolor=\"#CCCCCC\"><input type=\"file\" name=\"VideoUpload\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><input type=\"submit\" value=\"Submit Form\" \/> <input type=\"reset\" value=\"Clear Form\" \/><\/p>\n<\/form>\n<p><\/center\n\n&nbsp;\n\n\n\n<h4 style=\"text-align: center;\">Contest sponsor:<\/h4>\n<p style=\"text-align: center;\"><a href=\"http:\/\/www.landexresorts.com\/\" target=\"_blank\"><img decoding=\"async\" src=\"http:\/\/thelehighacresgazette.com\/news\/wp-content\/uploads\/2012\/08\/Landex_sponsor.jpg\" width=\"250\"alt=\"\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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:&nbsp;&hellip; <\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":71,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/pages\/11290"}],"collection":[{"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/comments?post=11290"}],"version-history":[{"count":0,"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/pages\/11290\/revisions"}],"wp:attachment":[{"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/media?parent=11290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}