STAND AND DELIVER™ Entry Form
Merz Aesthetics, Inc., exclusive distributor of Asclera® (polidocanol) Injection, along with an advisory panel of women who were selected for their significant abilities to STAND AND DELIVER™, is conducting a nationwide search for inspirational women who are changing their communities one day at a time through support of a 501(c)(3) non-profit organization.
To nominate a neighbor, colleague or friend, simply complete the entry form below by December 31, 2012.
After the submission period closes, the advisory panel will select three women who STAND AND DELIVER™, and their stories will be featured on this website, giving them national recognition for their causes. From February 15 through April 19, 2013, you'll have the chance to cast your vote for the finalist you feel best STANDS AND DELIVERS for her cause.
One lucky winner, determined by your votes, will receive $10,000 from Merz Aesthetics and Asclera® to support her favorite charity, as well as a professional beauty makeover. For more information about the contest rules and entry criteria, see the Terms and Conditions.
*Denotes required field. Must be 18 or older to participate.