Submit Your Selfie
Submit a Selfie with Your Hosaphone(tm)
  1. Submit a selfie of you pictured with your Hosaphone(tm) to be considered for inclusion in the HosaSelfies(tm) section.
  2. Please enter your full name*
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  3. Please enter your e-mail address*
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  4. Tell us where your HosaSelfie(tm) was taken*

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  5. Please enter your city and state or province in the box above, and then choose from the names that will appear. Don't hit "return", click on the Submit button when your form is ready for processing.

  6. Please enter your job title, profession or student year*
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  7. Please provide a caption for your HosaSelfie(tm)*
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  8. Do you wish to apply to become an official Hosaphone(tm) Performing Artist?*
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  9. Please upload your selfie*
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  10. We need this so we know you are a real person*
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  11. Submit your completed form

Selfie of Ellis Workman

Selfie of Ellis Workman, Inventor/Mentor of the Hosaphone(tm)