Celebrate PEI Agriculture Photo Contest

Current Page 1
Page 2
Preview

Prefill with your MyPEI Account

Allow this form to use information already in your MyPEI account to fill in fields automatically. You can review and edit everything before submitting.

Personal information on this form is collected under Section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, Cap. F-15.01, as it relates directly to and is necessary for purposes outlined in the Celebrate PEI Agriculture Photo Contest Rules. If you have any questions about this collection of personal information, you may contact the Registrar, P.O. Box 2000, Charlottetown, PE, Canada C1A 7N8 Tel: 902-368-4880.

Identification

First Name

Middle Initial

Last Name

Address 1

Address 2

City, Town, or Community

Province

Postal Code

For example C1B 0X1 or 12345

Country

Telephone Number

For example 902-555-5555

Email Address

Are you 18 years of age or older?

Parent/Guardian Information

If entrant is under 18 years of age please provide parent or guardian contact information below.

First Name

Middle Initial

Last Name

Address

City, Town or Community

Province

Country

Telephone Number

For example: 902-555-5555

Email Address

Relationship to the Entrant