Prize Donation - International Mr. Leather

Business Name *

Contact Name *

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Last

Address

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Address Line 2

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Email *

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Prize Donation for the winner, International Mr. Leather (describe, and indicate estimated value)

Prize Donation for the First Runner-Up (describe, and indicate estimated value)

Prize Donation for the Second Runner-Up (describe, and indicate estimated value)

How will we recieve the prizes for the winners *