Strike a Pose with Beaujolais Nouveau Contest Entry Form

Enter your contact information, caption, and upload your Beaujolais Nouveau "pose" below

 

please note ALL fields are REQUIRED
   
Name ::
Street ::
Street 2 ::
City ::
State :: (residents of CA, MI, PA, TN and Puerto Rico may not enter by law, sorry)
Zip ::
email ::
T-shirt :: Woman's Large Man's XL
 
How did you find out about this website?  
   

Please be sure the file size does not exceed 1 MB.
** JPGs ONLY **

   
Pose photo ::
   
Enter the caption for your pose below.
NO MORE THAN TEN (10) WORDS.
Caption ::
 
I CERTIFY THAT I AM AGE 21 OR OLDER
YES NO


 

official rules