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CONTEST FORM
GRAND PRIZE - APPLE IPAD

2ND PRIZE- FULL VEHICLE WINDOW TINT

3RD PRIZE -$100.00 OFF ON YOUR CRACKED GLASS(if replace by our company already we will credit you back)

4TH PRIZE - FREE AQUAPEL TREATMENT APPLIED TO YOU VEHICLE WINDSHIELD

Full Name: *
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Phone Number: *
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Email *
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What Glass Cracked? *
Submit 2 pictures of your cracked glass to dispatch@allbriteglass.ca *
Required
Write a short story of your cracked glass experience? Who? What? Where? Why? When? *
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