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WINNER HAS A CHOICE BETWEEN THESE EXCITING DESTINATIONS
ALASKA, CARIBBEAN, MEXICO, CANADA/NEW ENGLAND
In AGREEMENT to the Terms and Conditions below
Please print, complete and sign the Agreement below and fax to (250) 390-0222, Attention: Nicola Jones
Dated the _________ of ________________, 200____
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Authorized signature - charity
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Name of authorized signature
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Name of charity
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Name of contact person (if different than above)
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Address of contact person
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| City | Province | Postal Code |
| ________________________________ | ________________________________ | ________________________________ |
| Telephone of contact person - day | night | fax |
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Email address of contact person
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Authorized signature - CruisePlus Management Ltd.
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Name of CruisePlus contact person
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