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REWARDS POINTS FORM

Please fill out the following information. Do not leave any space blank. If a section does not apply to you, please indicate by typing N/A. There are three ways to receive your items. Through the mail (costs 10 points), picking up items at the office during business hours or at the next physical in-service.

Lifeguard Rewards
  • CONTACT INFORMATION:
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  • First Name*
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  • Last Name:*
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  • Employee PIN #*
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  • Cell Phone*(xxx-xxx-xxxx)
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  • Email*(must be filled out to send form)
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  • Home Address:*
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  • City*
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  • State*
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  • Zip Code*
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  • Rewards Items
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  • Reward Items: (One Item per submission, also choose size, color or type if needed)*
    GHPM Men's Suit (45 pts)
    GHPM Women's Suit (45 pts)
    GHPM Logo T-Shirt (12 pts)
    GHPM Logo Tank Top (12 pts)
    GHPM Manager Red Tank Top (12 pts)
    GHPM Manager Red T-Shirt (12 pts)
    Safety Pack (12 pts)
    Whistle w/Lanyard (10 pts)
    Pocket Mask (12 pts)
    Lifeguard Hat (12 pts)
    Lifeguard Visor (12 pts)
    GHPM Drawstring Bag (5 pts)
    GHPM Towel (50 pts)
    Hooded Lifeguard Sweatshirt (40 pts)
    Rescue Tube Key Chain (10 pts)
    $25 Gift Card - Choose Below (50 pts)
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  • Men's Suit Size*
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  • Women's Suit Size*
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  • Shirt Size*
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  • Whistle Color*
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  • Hooded Sweatshirt*
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  • Gift Card*
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  • Comments:*Write down how you would like the items delivered.
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  • Security Validationcopy the characters
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PROUD SUPPORTER