XYZ Competition

Competition details here, blah blah

Form below that we can edit with whatever fields, questions we like

Name *

Email Address *

Please click to confirm you live within BS35, BS32, BS37, GL12, or GL13 *

Click here to confirm you live within BS35, BS32, BS37, GL12, or GL13

How did you hear about the competition? (please tick all that apply) *

Presenter mentioned on air

Social Media

Word of mouth

This can be left alone:

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