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Photo Competition

Best New Zealand Photograph

By entering a photograph you are acknowledging that the photograph was taken by yourself, and is not from copyrighted sources. You also hand over rights to use the photograph in any future publicity by Australian Explorer, such as use on the Australian Explorer website as per our Terms and Conditions.

Please complete the entry form below and hit the SUBMIT button.

PERSONAL INFORMATION
Title:	*
First Name(s):	*
Surname:	*
Occupation:
Date of Birth:
CONTACT INFORMATION
Address:	*
Address2:
City / Town:	*
State / Territory:	*
Postcode:	*
Country:	*
Contact Number:
Email:	*
PHOTOGRAPH INFORMATION
Photo Title:	*
Date Taken:	*
Location of Photo:	*
Image Name:	*
Further Details:
	I confirm that I have read, understood and agree to the terms and conditions for entry in this competition. I understand that myself and no one else must have taken any photograph entered by me. (It is a crime to falsely claim the work of somebody else and can lead to prosecution).
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Date of Birth:	-- * (YEAR-MONTH-DAY - i.e 1975-12-14)
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Nationality:
SECURITY INFORMATION
IP Address:	38.103.63.61 * PLEASE NOTE: Your IP Address will be recorded. Please do not send unsolicited email (such as link exchange requests) from this contact form.
Security Code:	* Please enter Security Code into Area above (Case Sensitive) NOTE: If you are experiencing difficulty submitting the form, please ensure that cookies are enabled

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