First Name
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Last Name
Phone
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Email
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Suburb you live in
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Please tell me about your beloved senior dog (name, age, breed, personality)
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What would it mean for you to have forever memories of your dog?
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Please list the people who you would love to have included in your photo shoot? Please note ages of any children.
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There are runner-up Photography Gift Certificates to be won, valued at $425 each! If you do not win the major prize, would you like to go in the draw to win a runner-up Photography Gift Certificate from Captured Hearts Photography?
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Yes please!
No, thank you.
Runner-up winners will be notified within two weeks of the competition closing by email & text message.
Enter