Greater Merseyside Connexions

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WIN A NINTENDO Wii CONSOLE and Wii FIT

Wii Fit

Please enter your details below for a chance to WIN

a Nintendo Wii and a Wii Fit

Competition is open for Young People living in the Merseyside Area

Closing date for the competition is 24th November 2008

and the draw will take place on 1st December 2008

Winner will be notified by telephone and Announced on our web site

ONLY ONE ENTRY ALLOWED PER PERSON

We are updating our records !

The contact details you provide will be used to update the

information we hold on our database about you

First Name:
	Please enter your first name here
Surname:
	Please enter your family name here
Date of Birth:	mm/dd/yy
	Please enter your date of birth
Phone Number:
	Please enter your mobile phone number or home telephone number
e mail:
	Please enter your e mail address

Area:
	Please enter local area (e.g. Liverpool)
Destination:
	Please enter your current status (e.g. In Education), please select one from the list
Current Status:
	Please enter your current status (e.g. if at school please enter your school name)

Connexions Greater Merseyside