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Download PDF - Proven Winners

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Smiles Campaign order form<br />

Please fax this form to 815-895-1873.<br />

You can also complete the form online<br />

at www.provenwinners.com.<br />

Contents include:<br />

• 100 cards (customized cards - $20)<br />

• 100 bands and seals<br />

• 100 “We Grow Smiles” tags<br />

• 100 floral picks<br />

• 2 t-shirts (one large, one x-large)<br />

• 48" x 11" banner<br />

Orders will ship immediately.<br />

Customized kits will ship 2-3 weeks after order is placed<br />

Only<br />

$<br />

50<br />

A $150 value<br />

Company Name _______________________________________________ Contact Name ______________________________<br />

Street Address _______________________________________________________ City ____________________________<br />

State/Province _________________ Zip/Postal Code ___________________ Phone Number _____________________________<br />

Postage payment: Visa MasterCard<br />

Card # ______________________________________ CVV (3 digit number from back side of card): ________ Exp. Date _______________<br />

Please send a “We Grow Smiles” kit with blank cards ($50.00) – WGS2012B<br />

Please send a “We Grow Smiles” kit with custom cards ($70.00) – WGS2012C<br />

Please note that <strong>Proven</strong> <strong>Winners</strong> ® branded containers MUST be used, so please check the box below. Thank you.<br />

We agree to use <strong>Proven</strong> <strong>Winners</strong> ® branded containers<br />

We will promote your event online in addition to using Facebook & Twitter<br />

Event location _______________________________________________________________________<br />

Custom imprint copy* __________________________________________________________________<br />

____________________________________________________________________________________<br />

Please fax your order to 815.895.1873 or order online at www.provenwinners.com<br />

(if you will be having a large event, please call Sandy Wentworth at 877.895.8138)<br />

* Please limit imprint copy to 40 words or less; if you would like your<br />

logo included on custom cards, please email the logo file to<br />

sandy@provenwinners.com.<br />

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