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WHL Jersey Contest Entry

WHL Jersey Contest Entry Form

    Your Name (required)

    Your Phone Number (required)

    Your Email (required)

    Yes, I consent to receiving emails and other electronic communications from Rempel Insurance Brokers. This box must be checked to enter the contest as winner of the jersey will be notified via email.

    Note the following:
    Jersey draw will take place the first week of March, grand prize draw the week of April 25 and winners will be notified by telephone and asked a skill testing question within 72 hours of the draw. Prize substitutions will be at the discretion of the Insurance Brokers Association.