GWRRA Wing Ding 43

Gold Wing Road Riders Association Wing Ding 43

Coupon Submission

About You

Please provide the following information about yourself. This information is for internal use only and will not be published online.

First Name*:

Last Name*:

Title*:

Company*:

Email*:

Primary Phone*:

About the Special Offer

Please provide the following information about the special offer.

1. What is the exact name of the company making the special offer?*:

If there are multiple locations, specify which location this offer is for.

2. If this offer can be booked online, provide the web address.:

3. What phone number should a visitor call to book this offer?*:

4. Provide a detailed description of what is included in the offer.*:

Include prices, restrictions, what's included in the offer, etc. This is your chance to sell the offer to the visitor, so make the description appealing.

5. Redeemable from*:

6. to*:

7. Post on the website from*:

8. to*:

9. Provide an image to accompany the special offer listing.*:

Images should be in landscape orientation and at least 600 pixels wide and at least 400 pixels tall. They may be larger, but not smaller. Images must be in .jpg, .gif or .png format.

10. Comments or other information:

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