PHAME: Pacific Handicapped Artists, Musicians and Entertainers Inc.

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Phame Academy is a non- profit and is a 501(c)(3) organization.

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Warning: The information you enter on this form will not be saved if you leave or refresh this page. Make sure you click the submit button at the end of this form when you are finished in order to send your information to PHAME. This form is submitted VIA e-mail, using Outlook Express or another e-mail client. If you do not have an e-mail client, send all of the information through your e-mail service to: phameacademy@gmail.com

*PHAME Academy and Brink's Home Security would like to give you a new Security System for free. A state of the art, award winning Brink's Home Security system can be installed in your home for you at no charge. Better yet, your free system will also help benefit PHAME Academy. Getting your free security system is easy. Simply fill out the form below supplying us with your name, address, email, phone number, and any additional information, and PHAME Academy will send you a coupon good for a free standard installation of a Brink's Home Security System. For more information please call: Michael Ashton - PHAME Academy: 503.973.5815 Or you can call: Nancie Hines - Brink's Home Security: 503.867.2778**

Call for information on Brink's(r) monitoring fees and other terms. OFFER REQUIRES ENROLLMENT IN BRINK"S EASYPAY(tm) AUTO PAYMENT.* Three year monitoring agreement required. Applicable taxes and permit fees not included. Installation of fire detection devices or carbon monoxide detector available for an extra fee. Local codes may require the installation of additional smoke/heat detectors at an additional cost. Monitoring of fire detection devices or carbon monoxide detector is an additional $1 per month. Offer may not be combined with any other discount and is subject to change. Home ownership and credit approval required. Home must be located in a Brink's service area.

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