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Embracing Our Differences

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2013 QUOTATION SUBMISSION FORM<br />

In 20 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,<br />

without restriction, <strong>Embracing</strong> <strong>Our</strong> <strong>Differences</strong>® to use your quotation in reproduction for catalogs,<br />

posters, advertising, as well as other educational and promotional materials. <strong>Embracing</strong> <strong>Our</strong><br />

<strong>Differences</strong>® reserves the right to modify or alter your submission as necessary.<br />

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

USE THIS FORM - OR SUBMIT ONLINE - DEADLINE: JANUARY 7, 2013<br />

Signature:<br />

Date:<br />

Print Name:<br />

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

School:<br />

City:<br />

Address:<br />

City: State: Zip:<br />

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

Email:<br />

You may email questions to: info@embracingourdifferences.org<br />

Mail this form to: <strong>Embracing</strong> our <strong>Differences</strong> ® ,<br />

PO Box 4177, Sarasota, FL 34230-4177 USA<br />

For Express Mail or method requiring signature, mail to: <strong>Embracing</strong> <strong>Our</strong> <strong>Differences</strong> ® ,<br />

1661 Ringling Blvd, #4177, Sarasota, FL 34230 USA<br />

OR SUBMIT ONLINE (RECOMMENDED): EMBRACINGOURDIFFERENCES.ORG

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