(enter before October 1, 2019)

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* 1. Please check all boxes for products or services you could need or have interest in this year:
(by checking, you may be seeing awesome discount opportunities and coupons in your email in-box)

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* 2. Name

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* 3. Email

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* 4. Date of birth
(must be 18 or over to win)

Date

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* 5. Location (which is closest to you)

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* 6. Do you own, run, operate or in any way have a BUSINESS that you would love The Ace & TJ Show to generate leads or business traffic for?

T