Kate's Prize Winner Address Form (Ruszala's Readers)

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Congrats on your win and thank you again for participating in the party fun!

Email *

The First & Last Name of your Party Hostess *

Just say "VIP Group" if you won something there.

What did you win? *

VIP Group: Prize Winner

VIP Group: Hostess of the Month Winner

Team Meeting: Door Prize Winner

Roll Call

Grand Prize

Chattiest Prize

Starriest Prize

Other:

If you answered "Other" above, what did you win?

Your First & Last Name *

Age/Gender of your reader(s) so that I may select the most appropriate prize to send your way. *

Choose all that apply

0-12 months

1-3 year old

4-6 year old boy

4-6 year old girl

7-9 year old boy

7-9 year old girl

10+ boy

10+ girl

Required

What is your complete mailing address? *

Example Format: 4015 Woodleigh Cove Houston, TX 78634 Please double check that it's correct before submitting.

I'd be interested in hosting a party of my own...

In 2-3 months

In 4-6 months

In 7+ months

Next Spring

Next Summer

In time for Easter

Before the Summer starts to prepare for the summer slide

For Holiday Shopping in the Fall

I'd like to be emailed more information about the Usborne Books & More business opportunity.

Yes

I'd like more information on the "Cards for a Cause" Fundraiser opportunity that Brandie can provide with a 43% return.

Yes

Clear selection

Submit

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