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Registration Form Name:_______________________________________________________ Partner’s Name:______________________________________________ Phone #(s)___________________________________________________ Email address (1)___________________@________________________ Email address (2)___________________@________________________
Mail Registration To: NOTE: If you want to make a contribution to bolster the winnings and add more placement to this contest you can do so by sending it to the above address and designating its use. Anyone who makes a contribution will be acknowledged and the amounts disclosed so we will have an accurate accounting for all monies received. No one who contributes can judge.
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