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Registration
 
Register for our contest by filling out the form below. Registration is required for voting.
 
General Information
 
* First Name: 
 
* Last Name: 
 
* Birthday: 
   
 
* Public Name: 
 
  Must be 4-10 characters
 
* Email: 
 
  Only one registration is allowed per email address.
 
* Confirm Email: 
 
* Phone: 
 
  Will only be used to contact winners.
 
* Postal Code: 
 
  
    Yes, sign me up for marketing offers from the Smith Mountain Lake area.
 
  
    Smith Mountain Lake News - Receive emails for news from smithmountainlake.com.
 
  
    Yes, I would like to receive news and information from the Smith Mountain Lake Regional Chamber of Commerce.
 
Password Information
 
Passwords must be 8 to 20 characters.
 
* Password: 
 
* Confirm Password: 
 
Double check to make sure your information is correct and then hit submit below. Thank you for your participation.
By submitting the form you are confirming you are at least 13 years of age and have read and agreed to our terms of service, privacy policy and rules.
 
 
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SML Passport 2016

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