Wells Call Injury Lawyers Scholarship Video Contest Submission Form

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Scholarship Video Contest

Team Member Name(Required)

Additional Team Members if Applicable

Address(Required)

Email Address(Required)

Phone Number(Required)

Current Grade in School(Required)

School Name(Required)

Address of Your School(Required)

Title of Your Video(Required)

Please Upload a Copy of Your Video

Max. file size: 50 MB.

Please Include a Link to Your Video Below if You Chose Not to Upload the Video

Consent(Required)

I agree to the consent policy.

By submitting this form, you are granting Wells Call Injury Lawyers the right to post and share your video on our website and on our social media platforms.

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Free Case Review *Required Fields
FirstName*
LastName*
Phone
Email
Description

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