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INFORMATION REQUEST & ENROLLMENT FORM

Please complete and submit the form below or e-mail bankgame@hrwinc.com .  Submission of this form does not obligate you or your organization in any way.  We do not share information submitted with anyone.  Any additional information or comments are most helpful.  Feel free to use this form to tell us what you think about our web site, our products,  or anything else that comes to mind. We welcome all of your comments and suggestions.

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I would like to enroll a group in your next e-mail program.
I would like to enroll two groups in your next e-mail program.
I have three or more groups and want to start our own program.  Please contact me.
I am primarily interested in the International version. (Please provide additional information in comments).
Other
Please contact me as soon as possible regarding this matter.

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Copyright © 1997 HUMAN RESOURCES WEST, Inc. All rights reserved.
Revised: November 24, 2000.