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FREE OFFER

Fill in the form below to get a chance at winning a free food sensitivity test ($ 125.00 value). We will draw a winner every 3 months (Jan. 1 - April 1 - July 1 - Oct. 1). The winner will receive notice by e-mail and/or phone and will be able to make an appointment that is most convenient. (Canadian and U.S. residents only).
Note: Applicants under 18 need permission by a parent or guardian and need to be accompanied by a parent or guardian on the day of the appointment.

First and last name
Street
City
Province/State
Postal Code
Country
Phone
E-mail
Age
Have you been a client with us before? Yes     No
Do you have any symptoms that we can help you with?
How did you find our web site?
Any comments
Would you like us to notify you of any future changes? Yes      No
*** notifications will only be sent by e-mail ***

Thank you for taking the time to fill in this form, and good luck... you may be the one to enjoy this free offer at Red Paw Data Services Ltd.

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