5K Form

Full Name*

Phone Number*

Postal Code*

Email*

Please enter the name of the Vaughan Chamber of Commerce member company you work for*

How did you hear about the 5K giveaway?*

Do you give consent to be entered in for a chance to win one of multiple draws?*
YesNo

I would like to receive a quote*
YesNo

Please select that you’d like a non-obligation quote or alternatively, provide your policy renewal date

Please note that you only need to enter once to be considered for all future draws. The contest ends March 31, 2022.

Don’t delay — the next draws take place on January 7, 2022 and April 8, 2022.

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