First Name (required)
Address Line 1 (required)
City (required)
Zip Code (required)
Your Email (required)
Last Name (required)
Address Line 2
State (required)
Phone (required)
Tell Us Why You Need a Makeover! (required)
May we contact you? YesNo
May we publish your comments? YesNo
Did you take this photo yourself? YesNo
Image Title
Image Description
Include your full name in the file name. There is a 25MB size limit.
[
By checking the box, I certify that I have read and agree to the Terms and Conditions for my submission and understand that my comments, as well as any included videos or images, may be used on A Better Day With Julie broadcasts. I agree to the terms and conditions for my submission.View the Terms and Conditions.