S&H Outside Cont. US
Starling Water Systems ~ MultiPure
La Oportunidad de Toda una Vida
CASH PRIZES of $100 AWARDED TO 3 WINNERS EVERY QUARTER
I understand that by completing this registration form, I am eligible for the $100.00
Multipure drawing. If my name is drawn, I will receive a check for $100.00.
Submitting distributor will receive $50. If my name is drawn as one of the $100 winners,
I will automatically be entered in Multipure’s $500 Sweepstakes.
Contestant must be 18 years or older to participate.
City, State, Zip
How many glasses of water do you drink each day?
Would you like to learn more about how water affects your health?
Do you have a water filter?
Do you drink bottled water?
Are you on a private well?
I am planning to purchase a Drinking Water Sytem in the next:
Would you like to try a MultiPure Drinking Water System in your home for one week FREE:
Best time to call:
My home is:
Keri Raphael #140104
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