Taking SAFESTART Home

SafeStart Awards Program Prize Form

The SafeStart Home prizes are not convertible to cash and must be accepted as awarded. Only current prizes on the Award of Excellence website will be awarded. Prizes that may have been offered previously on print material or an old website are no longer available - if you've won a prize, refer only to https://www.awardofexcellence.com/catalog/ for selection.

Part 1 - Identification Numbers

Your Company ID Number:

(5 digits)

Your Company Name:

Your Employee ID Number:

(up to 10 digits)

The winning member's

Family ID Number:

(1 digit)

Part 2 - Your Shipping Address

Your Name:

Street Address:

Apartment/Unit Number:

City:

State/Province:

Zip/Postal Code:

(ie. H0H 0H0 or 90210-0123)

Daytime Phone Number:

(include area code)

Home Phone Number:

(if different from above)

Part 3 - Your Prize Selection(s)

You can win more than once! Enter up to 5 prize items below based on the prize levels you were told on the Awards hotline when you won.


Item	Description	Color	Size	Prize Letter
1
2
3
4
5

Part 4 - Verify and Submit

Once you have entered and verified all of your information please print a copy of this completed form for your records, then press the Submit button below to send us your prize submission.

Before you place your order, please note:

Manufacturers may discontinue items without notice at any time. You will be notified if an item you selected is no longer available. You will be able to select another item at the same prize level from the SAFESTART Award of Exellence catalog.

Some of these items will ship directly from our warehouse, while others will be shipped to you from the manufacturer. Items may arrive at different times. Over 95% of all orders will arrive in 2 to 6 weeks. If your order hasn't arrived and it's been over 6 weeks, please contact us at:

1-800-275-9171 or orders@awardofexcellence.com

Quick Links:

• Take the Course

• SafeStart Stories

• The Awards Program

• Kid's Stuff

• Teaching Resources
for Youth Groups and
Non-Profit Organizations

• Contact and Support Info

Copyright © 2016 SafeStart� is a registered trademark of Electrolab Limited
SafeStart Home online course is available exclusively to family members of employees trained in the workplace version of SafeStart