Polish Amor Glitzy Giveaway!!!!!!

Please fill out form below for a chance to win! Open to ALL residents, US and International!!!
Please fill out the form ONE TIME per person, multiple entries will be disqualified.
YOU MUST BE A FOLLOWER of my blog to enter!! (New followers are always welcome!)
You must be 18yrs or older or have parents permission to enter.

You automatically get ONE entry for filling out this form. .
Any questions, please contact me at polishamor@gmail.com

Giveaway ends October 7, 2011!!!! GOOD LUCK and THANK YOU!!!
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question