Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please Confirm That You Consent To Works Being Filmed In Your Property (Filming is required for competition entry)

Yes

No

Is Your Loft Under 50m2 (Please note only lofts under 50m2 can be considered for entry)

Yes

No

Not Sure