MTV Staying Alive 2006/7 Vlogit Competition

NAME:


ADDRESS:


POSTCODE:


COUNTRY:


TELEPHONE: (including international dialling code)


EMAIL:


DATE OF BIRTH: dd/mm/yy


In this section please provide details of what your Vlog would be about.
How would you use your experiences and thoughts to educate others? (255 characters)


Why do you think it would be effective? (255 characters max)



Please confirm that you have read the terms and conditions and rules by checking this box


Please ensure you have read the terms and conditions and rules before entering. Please complete all sections in order to be considered.

Thanks for taking part UNICEF & MTV Staying Alive