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“Simple insults target the heart.” - Embracing Our Differences

“Simple insults target the heart.” - Embracing Our Differences

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Signature: Date:<br />

Print Name:<br />

Name on signage (include Title):<br />

For Students: Age: Grade: Teacher:<br />

Address:<br />

City: State: Zip:<br />

Telephone*: ( ) *Required for valid entry so we may contact you.<br />

Email:<br />

2011 QUOTATION SUBMISSION FORM<br />

In 30 words or less, share your thoughts on <strong>Embracing</strong> <strong>Our</strong> <strong>Differences</strong>. ®<br />

Signing below with your submission indicates your irrevocable agreement if selected, to permit, without restriction,<br />

<strong>Embracing</strong> <strong>Our</strong> <strong>Differences</strong>® to use your quotation in reproduction for catalogs, posters, advertising, as well as o<strong>the</strong>r<br />

educational and promotional materials. <strong>Embracing</strong> <strong>Our</strong> <strong>Differences</strong>® reserves <strong>the</strong> right to modify or alter your submission<br />

as necessary. Your submission MUST be an original work.<br />

use this form - or submit online. deadline: postmarked no later than JANUARY 17, 2011<br />

School: City:<br />

FAX TO 941-953-2694 or mail to:<br />

<strong>Embracing</strong> our <strong>Differences</strong> ® Quotations, P.O. Box 2559, Sarasota, FL 34230-2559<br />

or submit online @ www.embracingourdifferences.org<br />

You may email questions to: info@embracingourdifferences.org - or call (941) 928-0567

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