Platinum Quince Giveaway Participant Form - English

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ENTER FOR A ONCE-IN-A-LIFETIME CHANCE TO WIN THE QUINCE OR SWEET 16 OF YOUR DREAMS! (1) Fill out this form and email to connect@nybqe.com. (See online version here: http://eepurl.com/bc2zZ9.) (2) Send an email to connect@nybqe.com telling us why YOU deserve to win the Quince or Sweet 16 of your dreams. In a few sentences make sure to include how you serve your school, church, family or community. *The lucky winner will be announced at the 2015 NY BQE on Tuesday, March 10th and must be present to claim prize. For free tickets for you, your family and friends, pre-register at nybqe.ticketleap.com and use discount code QUINCEGIV. Deadline: February 28, 2015.

FIRST NAME

LAST NAME

EMAIL ADDRESS ADDRESS CITY

STATE

PHONE NUMBER

DATE OF BIRTH

ZIPCODE

PARENT NAME PARENT TELEPHONE NUMBER If you are unable to email this form and/or essay, please mail it to Karina Jimenez, NY Bridal & Quince Expo, 31-25 89th Street #1R, East Elmhurst, NY 11369.


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