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Disclaimer: No purchase necessary to enter or win in the Phoenix Golf Weekend Sweepstakes. Starts 10:00 a.m. ET on 1/31/07. Ends 11:59 a.m. ET on 11/30/07 ("Promotion Period"). Open to legal residents of the 50 U.S. and District of Columbia 18+ years of age as of date of entry. Void where prohibited. Official rules

	Yes, I would like to participate in the sweepstakes and the opportunity to win a trip to Phoenix, tickets to the PGA TOUR's FBR Open, and dinner or a round of golf with Joe Theismann. I also want to receive a free information kit regarding a treatment for Enlarging Prostate.*
	Yes, please send me the free information kit regarding a treatment for Enlarging Prostate, but do not enroll me in the sweepstakes.*
	Yes, I would like to enroll in the sweepstakes but do not wish to receive a free information kit regarding a treatment for Enlarging Prostate.

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*By providing your name, address, e-mail address, and other information, you are giving GlaxoSmithKline (GSK) and companies working with GSK permission to market or advertise to you regarding the medical condition(s) in which you've expressed an interest, as well as other general health-related information from GSK. GSK will not sell or transfer your name, address, or e-mail address to any other party for their own marketing use. For additional information on how GSK handles your information, please read our privacy statement.

Do you have any one of the following bothersome symptoms?

Has a doctor or health care provider ever told you that you have an Enlarging Prostate or BPH?

Are you currently taking prescription medication for Enlarging Prostate?

Which medications are you currently taking? (Please check all that apply)

Do you plan to visit your doctor, urologist, or other specialist for Enlarging Prostate or BPH?

When was your last physical exam?

My preferred method of receiving information is: