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[contact-form to=’karla@amoreinternational.com,info@amoreinternational.com’ subject=’Register Me for Customer Rewards!’][contact-field label=’First and Last Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’I currently buy my Amore products MAINLY from’ type=’select’ required=’1′ options=’Impact Salon Sales,AB,I USED to purchase at Can-West,All About Nails-Strathmore,AB,Balance Beauty %26amp; Sales,Lloydminster,AB/SK,A Nail Above the Rest,Lacombe,AB,Nove Wholesale,Saskatoon,SK,Details Beauty Supply,Surrey,BC,Cut %26amp; Polish,Manitoba,TONi in Ontario,I don%26#039;t have a distributor YET’/][contact-field label=’Register me for Customer Rewards!’ type=’checkbox’ required=’1’/][contact-field label=’Additional Comments Welcome’ type=’textarea’/][/contact-form]