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1
Name
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First Name
Last Name
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2
Email
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3
Phone Number
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Best contact number
Area Code
Phone Number
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4
How did you hear about us?
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How did you hear about our giveaway?
Current Smiles Client
Current Vida Spa Client
Radio
TV
Google
Friend or Referral
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5
Photo Submission 1 - "Close Up"
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Please upload a photo of yourself.
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Max. file size
: 10.6MB
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1 photo only please
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6
Photo Submission 2 - "Smile"
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Please upload a photo of your full smile.
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: 10.6MB
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1 photo only please
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7
Photo Submission 3 - "Full Body"
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Please upload a full body photo.
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Max. file size
: 10.6MB
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1 photo only please
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8
Like Smiles Today Dental on Facebook
Like us on Facebook and follow the giveaway to see if you're the grand prize winner!
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9
Magic Makeover Official Rules
*
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*YOU MUST READ THROUGH THE ENTIRE RULES BEFORE AGREEING.
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10
Sign & Complete Your Entry
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Please sign your name to enter the giveaway.
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Full Name Please
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