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  • liability/publicity

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    National Consumer Survey
    www.SimmonsSurvey.com
    THANKS FOR TAKING PART IN THIS IMPORTANT CONSUMER SURVEY.
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    ND KLET M A BOO OR D IS F LETE 0!! TH MP 0 TE 2,0 PLE UR CO IN $ M CO H YO TO W SY! IT CE A 'S E NG W HAN IT LO RC T A YOU IL I FOR MA
    Name
    If you have any questions about the Simmons National Consumer Survey,
    Address
    please call 1-800-551-6425, or visit our website at www.SimmonsSurvey.com. We will be pleased to help you.
    City
    This is your opportunity to tell businesses and advertisers about the
    State
    products you like and the types of media you prefer. PLEASE MAKE YOUR OPINIONS COUNT BY COMPLETING THIS BOOKLET. Your survey starts on Page 4.
    Zip Code
    Phone Number
    If you would like to be entered into the $2,000 Sweepstakes drawing,
    Email Address (Optional)
    please fill out the form on the left.
    National Consumer Survey
    www.SimmonsSurvey.com
    Sweepstakes Official Rules
    1. NO PURCHASE NECESSARY. To enter, neatly complete the front of this form (including paid envelope. One entry per person. No mechanically May 21, 2005, and your entry must be received by the date on the front cover of this booklet. 2. On or about October 31, 2005, winners will be selected in a random drawing from among all eligible entries received by Simmons Market Research Bureau, Inc. Simmons decisions concerning the sweepstakes are final.
    your name and complete address) and return completed booklet in the enclosed postage produced entries will be accepted. Sweepstakes begins
    3. Sweepstakes is open to people living in the U.S., aged 18 and older except employees, and
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    members of their families living in the same household, of Simmons Market Research Bureau, Inc., its parent company and its subsidiaries, affiliates, brokers, distributors, retailers and advertising, promotion and production agencies. Void where prohibited. 4. (1) Grand Prize — $2,000 (two thousand dollars). Taxes and all other expenses are the responsibility of the winner. Odds of winning depend on the number of eligible entries received. 5. One prize per person, address or household. Sponsor not responsible for late, lost, stolen or misdirected mail or entries. No cash substitutions, transfers or assignments of prizes allowed, except by Sponsor for reason of unavailability, in which case a prize of equal or greater value will be awarded. Each prize winner must execute an affidavit of eligibility and liability/publicity release, which must be returned within fifteen (15) days of prize notification attempt or prize will be forfeited and an alternate winner will be selected. 6. For the names of the prize winners (available after October 31, 2005), send a self-addressed, stamped envelope to: Simmons Market Research Bureau, Inc. A National Marketing Research Firm 700 West Hillsboro Boulevard Suite 4-201 Deerfield Beach, FL 33441-1620 Attention: NCS PRIZE

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