"A Healthier You!" Weekly Newspaper Columns   FREE Trial Registration Form Welcome to the registration page for a FREE, one-month trial of the weekly "A Healthier You!" newspaper columns. To receive your free set of columns, please fill in the requested information in the form below, then click the "Submit" button. Filling out and submitting this form does not obligate you to receive any future columns nor in any other way. Please note that this free trial of "A Healthier You!" is only available to YMCAs within the United States. Upon receipt of your request, a customized set of weekly columns will be sent to you via email. Columns will be provided in a Word or WordPerfect file format, depending on your choice below. We will include, with your columns, a page of Frequently Asked Questions regarding these columns, their usage and placement. You will also receive an Order Form which you will need to return if you wish to continue receiving "A Healthier You!" columns after the free trial month. Please be assured that no additional columns will be sent unless that Order Form is submitted. Questions or special requests? Please call: 1-800-241-0644 (9 a.m. to 5 p.m. Mountain Time)

Please provide the following information: Name of your YMCA Mailing Address: Mailing Address (2nd line): City:      State:  AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY      Zip:  Name of person to whose attention columns should be sent:     Mr. Mrs. Ms. Miss Dr.     First:    M.I.:    Last:  YMCA Job Title Email Address to which columns should be sent: Contact Telephone Number:     Area Code:     Number:     Ext.:  File type preferred:    Send as Word file attachment Send as WordPerfect file attachment How do you wish the byline to read? (for example, "by Morris Smith, YMCA Health Director", or "by Sally Jones, YMCA Executive Director") What would you like for a closing contact tag at the end of each column? (please limit to approximately 40 words or less)

"A Healthier You!" is written and produced by Sleepy Hollow Productions 624 W. Sandstone Court Boise, ID 83702 phone:- 1-800-241-0644 Please click here for additional information about Sleepy Hollow Productions, Inc. © 2006 Sleepy Hollow Productions, Inc.