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Bodywork
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Touch Initiative
Know someone deserving of a little "me-time?" We are now taking nominations.
Winners will receive a free bodywork session. (Services to be redeemed in the Eau Claire, WI area)
*All nominators will be entered to win a gift certificate for themselves as well.*
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Indicates required field
Nominator's Name
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First
Last
Please provide your contact information, as the nominator.
Company Name (If applicable)
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Nominator's Email
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Nominator's Phone Number
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Nominator's age?
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15-18
19-25
26-35
36-50
Over 50
Name of Nominee
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First
Last
Please provide the information of the person deserving of free bodywork!
Your Relation to the nominee
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Family member
Friend
Co-worker
Other
Nominee's Email (if known)
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Nominee's Address
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Line 1
Line 2
City
State
Zip Code
Country
Personal or work address can be used.
Nominee's Phone Number
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Nominee's Age
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15-18
19-25
Option 326-35
36-50
Over 50
Reason for nomination
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Please provide 1-2 paragraphs stating your reason for nominating this person for Touch Initiative.
Upload File
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Max file size: 20MB
Any additional/relevant information/pictures, please upload here.
Additional Comments
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Do you wish to be anonymous to your nominee?
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Yes
No
I agree to receiving marketing and promotional materials
Submit
Events/Appointments
Bodywork
Book Club
Death-y Things
K-Cafe/Blog
