Officially Awesome Contest Entry Form

Entering the Contest
A Step By Step Guide
1	Read this page to understand what will be expected of you
2	Click here and fill out the form on the page
3	Get 2 Totally Free EyePODs in the mail
4	Film your ad for us
5	Post the Video on YouTube or MySpace
6	Send us a link to the Video
The EyePOD Is a Major Scientific Breakthrough
It Inserts Contacts & Removes Contact Lenses In One Second Finger Free!
It Also Precisely Places 1 eyedrop at a time on the Exact Center of the Eye
Saving your Precious Time, Money and Aggravation.

Officially Awesome Contest Entry Form
You Want to Become Famous for your Ad Videos. You Want a Job. You Want Those PRIZES. Whatever the Reason, You want to fill this Form Out.
Username:
Name:
E-mail Address:
Mailing Address: City/State/Zip:
Youtube/Myspace Address:

We only keep your information for the duration of the contest. Your Personal Information Will NEVER be provided to Any 3rd Party After the contest your information will only stay associated with your entry so everyone knows YOU made that Awesome Video