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Video Submission Request Form

Full Name *
Email *
Phone
Date *Please provide a two(2) week time frame to have your video posted.
URL Link *Provide link to your video here
Video Submission FeeThe required cost for video submissions is $10.00 this will be invoiced to the email address that you provide to us payable via paypal. (copy/paste link) https://www.paypal.com/ (click 'Send Money' option. Follow steps 1-3 Send payment to this email address: ctalentweb@gmail.com)

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Please enter any two digits with no spaces (Example: 12)*
This box is for spam protection - please leave it blank:

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Video Submission
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