* Required fields

First Name *
Last Name *
Address *
City /Town *
Postal Code *
Phone Number *
Email Address
Comments
 

Security test to prevent bot uploads.

Please identify the pictures below:

 


Upload Photo No.1

 

Photo 1 Caption
Location where photo 1 was taken
Approx. date of photo 1

 

 

Upload Photo No.2  
Photo 2 Caption
Location where photo 1 was taken
Approx. date of photo 1

 

 

Upload Photo No.3

 
Photo 2 Caption
Location where photo 1 was taken
Approx. date of photo 1

 

PLEASE READ:

In the event that your photo(s) are selected, I hereby authorize and consent that Cornerstone Credit Union shall have the absolute right to reproduce, crop, enhance, enlarge and publish the submitted photo(s) in their 2010 calendar. I hereby verify that I am the owner of the enclosed/attached photograph entered in the calendar contest.

Once you click "Yes, I Authorize" your photos will be uploaded.