PLEASE NOTE THAT THIS FORM WILL NOT WORK WITH INTERNET EXPLORER.
Entries must be received by midnight, January 3, 2020.
Please ensure you've reviewed all the information here before submitting.
Entry Fees are as follows:
All prize categories:
$25 per entry.
$20 per entry for WFNS members.
You may only submit one entry per category. If you are entering the competition in more than one category, you must repeat the process of completing this form and paying the applicable fee for each entry. Upon completing this form and making the payment, you will find a link that will take you back to this page for further entries.
Problems? Please email firstname.lastname@example.org.