User Group
Raffle Request

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To request a raffle copy of our products for your user group, please complete the following form. When you have responded to all entries, select the "Send Request" button below. We will send your group a copy within a few days or contact you to request additional information.

Raffle copies will only be sent to groups that have registered with us for our support. If your group has not yet register with us, please complete the User Group Registration Form before submitting a raffle request.

A limited number of raffle copies will be provided to your user group each year. We do this to generate good will with your group. Please do not abuse this offer.


How can we identify your user group?

Group Name:
City:
State/Province:


What product would you like to raffle?

Product:


Who should we send this raffle copy to?

Name:
Title:
Day Phone:
Evening Phone:
E-mail Address:
Shipping Address:
City:
State/Province:
ZIP Code:


How will the raffle copy be used?


Who completed this form?

Form Completed By:
Date (mm/dd/yy):
E-mail address:
Position in Group:


Thank you for requesting a raffle copy of our products for your user group.

(To submit your request, click once on the send button. The form will take a minute or so to process. Please wait for the reply.)

 


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