COPD Art Contest Submission

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* 1. Contact Details

Name

City/Town

Country

Email Address

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* 2. Title of art piece

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* 3. Please upload your submission

PDF, PNG, JPG, JPEG file types only.

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* 4. Where did you hear about this competition?

ELF Website

Twitter

Facebook

Other (please specify)

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* 5. To enter the competition you must confirm that you have read and agree to the terms and conditions.
View our Terms and Conditions

I agree