EmailMe Form - Submit A Challenge / Question

Title *

Forename *

Middle Name(s)

Surname *

Email *

Home Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Telephone Number

*Including region code (or country code, if outside of the UK)

Your Challenge / Question... *

*Be as descriptive as you like.

Your Pledge *

£ Pounds . Pence

*Please only pledge what you can afford.

Additional Notes

Would you like a free art print for your participation?

Yes

No

*Subject to availability. Please ensure you have accurate filled out your postal address details.

Would you like to be added to LippyArt's mailing list?

Yes

No

*Keep up-to-date on LippyArt's art, challenges,
exhibitions, and other exciting news.

The information submitted in this form will only be used for the agreed purposes (to contact you with regards to CHALLENGE, and if you agreed to be added to LippyArt's Mailing List). All information submitted will not be shared with any third parties.