DJ entry form

What is your title?
Mr Miss Mrs Surname name: >    First name:

Address
House/Flat  number:         Street/Road:  

City:                                   County:         

Post code:                           DJ name:      

E-mail:                             

Telephone :                     

Submit                               Reset  form

Please select a region
West Midland
East Midland
South
North
 

Contestant:  I am over the age of 18 and I agree to abide by the rules and regulations laid down by Niceness Promotions.
Niceness Promotions reserve the rights to make any changes with seven days notice
Letter send to the address given by the contestant is deamed as notice.
Please read the rules and regulation before submitting this form.