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.

Question Title

1. Are you 21 years of age or older? (Required.)

Yes

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

Question Title

2. Do you enjoy cooking or is it time consuming? (Required.)

Enjoy

Time Consuming

Both

Question Title

3. Which of these concern you the most? (Required.)

Nutrition

Allergens or Asthma

Water Contaminants

All the above

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

Full Name

Address

City/Town

State/Province

Email Address

Cell Phone

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5. Do you own or rent your home? (Required.)

Own

Rent

Question Title

6. Are you married, living together, or single? (Required.)

Married

Living Together

Single

WIN A FREE FOOD PROCESSOR

Sponsored by Proactive Elements

Question Title

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

Question Title

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

Question Title

* 3. Which of these concern you the most? (Required.)

Question Title

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

Question Title

* 5. Do you own or rent your home? (Required.)

Question Title

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

Question Title

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

1. Are you 21 years of age or older? (Required.)

2. Do you enjoy cooking or is it time consuming? (Required.)

3. Which of these concern you the most? (Required.)

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

5. Do you own or rent your home? (Required.)

6. Are you married, living together, or single? (Required.)

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