CIM Enter to Win!

Enter to Win!

CIM Manitoba will be holding draws throughout the year for some really great prizes. Please fill out the information below to be eligible for all upcoming prize draws!

Question Title

* Please enter your contact information below:

First and Last Name: *

Address: *

Address 2:

City/Town: *

Province: *

Postal Code: *

Email Address: *

Phone Number: *

Question Title

* Can we add you to our:

	Yes	No
Mailing Distribution List	Mailing Distribution List Yes	Mailing Distribution List No
Email Distribution List	Email Distribution List Yes	Email Distribution List No

Question Title

* Are you a CIM Member?

Yes