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Register to win a Palm handheld and to receive Digital Scout's news email

Hi!

We are glad you are interested in signing up for our contest. If you are under 13, you must get your parent's or guardian's written permission first.

Ask them to print and fill out this form below and then mail it to us at:

Digital Scout
3248 W. Henderson Road
Columbus, OH 43220

When we have received this form completed by your parents, you may then register for the contest online. Thanks for your interest.

Digital Scout Parental/Guardian Permission Form
I give my full permission for my child to register for the Digital Scout online contest.

___________________________________________________________
Parent/Guardian First and Last Name
________________________________
Signature
_______________________
Date
___________________________________________________________
Child's First and Last Name
______________________
Child's Age
______________________
State/Country of Residence
___________________________________________________________
Phone
___________________________________________________________
E-mail Address

Note to Parent/Guardian:
Your child may register for the contest once we have received your permission form. Drawings will be held monthly, on the last weekday of the month.

If you have any questions, please go to Digital Scout's home page (www.digitalscout.com) or email us at info@digitalscout.com.

All information is held confidential and is NOT distributed or sold to any other organization.

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Email Digital Scout Digital Scout   3248 West Henderson Road Columbus, OH 43220
Phone: 614-798-1133 · Toll Free: 1-800-249-1189 · Fax: 614-798-2199
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