Fill out the entry form below for your chance to win 1 of 10 one-year Curves memberships.

First Name*
Last Name*
Address*
Apartment Number
City*
Province*
Postal Code*
Phone*
Email Address*
How did you learn about this contest?
Grocery Store Display Coupon
Curves Location
Curves Website
Other Website

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How often, on average, do you purchase the following Welch's products?
Juice:
Once per week
Once every two weeks
Once per month
Occasionally
Jellies:
Once per week
Once every two weeks
Once per month
Occasionally
Spreads:
Once per week
Once every two weeks
Once per month
Occasionally
How many family members are in your household?
1 2 3 4 5+


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® Trademark of Welch Foods Inc., a cooperative, used under license.
** Trademark of Canada Dry Mott's Inc.

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