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Online Form - Photo Caption Competition

Full Name *

Address *

Email *

Phone *

Are you a Mundaring & Hills Society staff employee or executive member or the immediate family member of a Mundaring & Hills Society staff employee or executive member? *

YesNo

Are you a Shire of Mundaring employee or councillor or the immediate family member of a Shire of Mundaring employee or councillor? *

YesNo

Enter your caption (30 words or less) *

I declare that I have read the Terms and Conditions for this photography competition and agree to abide by them. If I am under 18 my parent/guardian is agreeing below on my behalf.

Declaration *

I Agree

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