To: 	[email]
From:	drcassileth.com
cc:	request@drcassileth.com
Subject: Total Makeover - Thank you for writing to us

Thank you for sending us your story for consideration. We will review it and if you are a candidate, we will get back to you as soon as possible.

Thank you again for sharing your story.

Warm regards,

Dr. Cassileth’s Staff


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Submitted information:
Name:	[yourname]
Address:[address]
City:	[city]
State:  [state]
Zip:	[zip]
Email:	[email]
Phone:	[phone]
Notes:	[notes]
Referred:	[source]

