Jacksonville Dentist Good Deed Contest - Advanced cosmetic and family dentistry in a comfortable environment.

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Do A Good Deed Essay Contest

Are You a Child or Teenager ages 10-18? Enter our essay contest
that rewards your GOOD DEEDS and . . .
Win an Apple I-Pad Computer
Courtesy of Dr. Zan Beaver

Do A Good Deed Entry Form

You must be 10 - 18 years old to enter this contest.
Please complete all fields below:

Contestant Information

First Name:

Last Name:

Age:

Gender:

	Male
	Female

Street Address:

Street Address 2:

City:

State: Zip:

Phone:

E-Mail:

Your Good Deed

Type your Good Deed Essay in the box below. It doesn't have to be long, just tell us:

What did you do?
Why did you do it?
Who benefited and how?
What were the effects of your actions? What resulted from them?

Parent Information
Mother's Name:
Father's Name:
Parent Phone:

School Information
School Name:
Address:
City:
	State: Zip:
Principal's Name:
School Phone:

Acknowledgement

I acknowledge and accept that my essay/picture may be used by BeaverDental.com for sharing publicly, without revealing my private information.

Please enter code above in the field below.

New Patient Offer

You don't have to pay to find out what's wrong,
only to fix it!

Free Exam, X-Rays and Consultation
for All New Patients

Get 8 Lumineers for
$5995.00
For the First 5 Patients

Regularly $8032.00
Offer Expires 02/13/2012

12 Month No Interest Financing Available

$5995 price only good for cash,
check or credit card purchases.