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Enter
Often!

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Thank you for
your interest in winning our draw.
Winners tell us it keeps getting better!
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(click on all that
apply to you or to your organization)
Once we have
received this
completed form, it is
our pleasure to include you in our next draw.
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When you win (how's that for
a good approach!),
which of these significant prizes might you select?
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We DO honor
the confidentiality of this information.
We will not share it with anyone outside of
our organization.
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| NAME |
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E-MAIL
(please confirm) |
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| FAX |
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| ORGANIZATION |
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| INDUSTRY |
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| POSITION
OR TITLE |
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| MAIL
ADDRESS |
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| YOUR
BIRTHDAY |
while
optional, many confirm they appreciate our Birthday greetings
each year!
Month
(1-12) Day (1-31)
note we didn't ask for the year ;-) |
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This form is also one of the best ways to reach Coach
Paul for more information about how his programs can
contribute to your continued personal, professional and
organizational success.
(... other ways include phoning
1+905-764-8525 or faxing 1+509-693-3088)
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PLEASE SEND
MORE INFORMATION
ON EACH OF THE
HI-LIGHTED CHOICES
Helful tip:
TO SELECT
MULTIPLE
OPTIONS
WITHIN A BOX,
HOLD THE
'Ctrl' KEYTO
SELECT
MULTIPLE
OPTIONS
WITHIN A BOX,
HOLD THE
'Ctrl' KEY
WHILE
CLICKING
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THANKS
FOR YOUR
HELPFUL
COMMENTS
AND
SUGGESTIONS |
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