Entry Form Box

With some help from Consultants, I’m designing an entry form box with entry note pads. Here is a photo of the sample box as it looks at the moment:

The text above the entry slot says:

“You may only enter the drawing once every calendar month. You will be contacted at the beginning of the next calendar month if you win. GOOD LUCK!”

Here is a close up of the entry form:

It would be great to get your feedback so we can tweak this to suit the majority of people.

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