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Enter The O’ConnorReport Contest

Yes, we want to Enter The O’ConnorReport Contest

Please send us an e-mail to request the complete rules: contest@oconnorhealthanalyst.com

Please print this form out, fill it in, and mail it to:
O’ConnorReport, 2505 Dexter Ave. N., Ste. 8, Seattle, WA 98109

I wish to enter the contest as a:

Corporation/hospital/manufacturer/health plan ($500)
Non-profit/academic institution/clinic ($100)
Individual ($25)
Senior/student ($10)

Please enclose a check payable to The O'ConnorReport and mail to:Please print this form out, fill it in, and mail it to:
O’ConnorReport Contest, 2505 Dexter Ave. N., Ste. 8, Seattle, WA 98109

We are in the process of establishing a 501(c)(3) account so all entry fees will be tax deductible.

Name_________________________________________________________

Title__________________________________________________________

Company______________________________________________________

Address_______________________________________________________

City______________________________________State_____ZIP_________

Phone____________________________________

Fax______________________________________

E-mail_________________________________________________________

Mail to: O’ConnorReport Contest, 2505 Dexter Ave. N., Ste. 8, Seattle, WA 98109

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