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* 1. Is this entry for you or are you nominating a couple? 

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* 2. Name

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* 3. Partner Name

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* 4. Why are you entering to win a free elopement? 

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* 5. How would a free elopement impact your life?

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* 6. Are you or is your nominee a front line or essential worker? If so, in what profession or industry?

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* 7. Tell us about you and your partner!

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* 8. What is your email address & phone number?

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* 9. Social Media Handles (if applicable)

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* 10. Submit a Video: Attached Video Link Below
Tell us how COVID-19 has impacted your life, and what this elopement would mean to you!

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