Email (required) First Name Last Name City State Country Zip Proof of Engagement - Twitter Username Proof of Engagement - YouTube ChannelID Private YouTube Video URL Campaign (required) —Please choose an option— Contest (required) —Please choose an option— I am at least 18 years of age. My video, graphic, or other media is compliant with the Terms of Use. I have read and agree to the Terms of Use, Privacy Policy, and terms specific to my chosen Contest or other Media Campaign. I want to receive newsletters about future contests from L.O.M.A., which may include information related to contest subject matter and marketing material. Δ
Email (required) First Name Last Name City State Country Zip Proof of Engagement - Twitter Username Proof of Engagement - YouTube ChannelID Private YouTube Video URL Campaign (required) —Please choose an option— Contest (required) —Please choose an option— I am at least 18 years of age. My video, graphic, or other media is compliant with the Terms of Use. I have read and agree to the Terms of Use, Privacy Policy, and terms specific to my chosen Contest or other Media Campaign. I want to receive newsletters about future contests from L.O.M.A., which may include information related to contest subject matter and marketing material. Δ
