**Win a chance to bag a free Clinique moisturiser by applying to be part of this hangout!**

This form is to apply to be part of a Google+ Hangout on Air with Clinique for 1 day from a potential 4 dates from the 6th-9th January 2014.

A Google hangout is a live video platform by Google, in which multiple people can simultaneously communicate over the internet with an audio and video feed.

You will be required to have: an Internet connection, functional (preferably HD ready) webcam and microphone.

Without this equipment you will be unable to partake in the Hangout and will not be able to considered through the application process.