WIN A FREE FOOD PROCESSOR

Sponsored by Proactive Elements

For a local promotion we are giving away dozens of Kitchen Food Processors to promote healthy living and nutrition. A random selection of individuals will receive a limited number of Food Processors for viewing valuable health and safety information to promote healthier homes. By entering below, your name will be submitted and you may be selected. *No purchase necessary.

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* 1. Are you 21 years of age or older?

Yes

No (Must be 21 yrs of age or older to enter)

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* 2. Do you enjoy cooking or is it time consuming?

Enjoy

Time Consuming

Both

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* 3. Which of these concern you the most?

Nutrition

Allergens or Asthma

Water Contaminants

All the above

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* 4. Participant Information: (If selected you will be contacted at # below)

Full Name

Address

City/Town

State/Province

Email Address

Cell Phone

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* 5. Do you own or rent your home?

Own

Rent

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* 6. Are you married, living together, or single?

Married

Living Together

Single

WIN A FREE FOOD PROCESSOR

Sponsored by Proactive Elements

Question Title

* 1. Are you 21 years of age or older?

Question Title

* 2. Do you enjoy cooking or is it time consuming?

Question Title

* 3. Which of these concern you the most?

Question Title

* 4. Participant Information: (If selected you will be contacted at # below)

Question Title

* 5. Do you own or rent your home?

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* 6. Are you married, living together, or single?

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* 7. What is your (Friends Name) that recommended you to enter?