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* 1. Product name:

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* 2. Physical Address:

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* 3. Contact person:

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* 4. Contact Number:

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* 5. Email Address:

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* 6. Category of establishment:

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* 7. Please describe your “Kids Stay Free” special offered:

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* 8. Please supply the dates when your special will be valid bearing in mind that this Wesgro/Travelstart promotion is for Easter to July school holidays:

Date
Date
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