First and Last Name

Email

Contact Number

Are you submitting text, video, or both?
TextVideoBoth

If you are submitting text, please paste it here. (200 words maximum)

If you selected video, we will contact you with instructions on how to send.

How did you hear about the Heartbreak Competition?

By participating in this competition, you agree to be bound to these Rules and Guidelines:

-This competition is open to people of all ages, races, and sexual orientations.
-Submissions must received between January 28th and February 28th.
-All Entries must be fewer than 200 words or if a video no longer than 2 minutes.
-All Entries must have appropriate contact information
-The entrant grants permission to Maria Finn and www.tangomehome.com to show or duplicate entries and information provided for publication on www.tangomehome.com and used in various speaking, radio and television promotions. Stories may be cross-posted to other online sites.
-Maria Finn and www.tangomehome.com shall not be held liable for the loss of any entry for any reason whatsoever.
-Maria Finn and www.tangomehome.com have the right to edit a story for grammar and punctuation, or decide not to post any submission based on inappropriateness or poor quality.
-Copyright to the final song is property of the composer.

I have read and agreed to the Contest Rules and Restrictions

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