5 Trades Away Participant Registration

5 Trades Away Registration

Thank you for your interest in "5 Trades Away", which will raise funds to directly support Pulse in their effort to bring Village Ambulances to Uganda. Please fill in the fields below to receive your chopsticks so you can begin trading.

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* 1. Please provide your contact information (No P.O. Boxes):

Name: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number:

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* 2. What is your Twitter ID (if applicable)?

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* 3. By signing up to receive Chopsticks, do you agree to do the following:

- Trade a maximum 5 times between now and Friday, May 1st at Midnight EST

- Send a picture of your final item to Lauren@bsmmedia.com by Sunday, May 3rd at Midnight EST

- Join us on Tuesday, May 5th at 8pm EST for an online auction and Twitter party where we will sell your item to benefit Village Ambulances

- Ship your 5th trade item to the winner after we notify you on May 6th (US only)

Yes

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* 1. Please provide your contact information (No P.O. Boxes):

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* 2. What is your Twitter ID (if applicable)?

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* 4. Any additional questions or comments?