PROM 2001 Contest Entry Form

Print & Mail this Entry Form

We are giving away one dress on the 1st and 15th of each month. You can choose any dress you like from our boutique. Drawings will be held on February 1st, February 15, March 1st, March 15, April 1st, and April 15.

You will need to fill this entry form.

BOLDED FIELDS ARE REQUIRED FOR ENTRY

First Name

 		 Last Name

 
Street Address

 
City

 		 State (U.S. only)

 
Zip Code

 		 Country

 
Email address (your_email@your_isp.com)
so we can tell you if you've won.

 		 Telephone (optional) XXX-XXX-XXXX
Your Birthday
Month Year (ex. 1982)
 		 Expected Prom Date
Month Day (ex. 1, 20, 31)
Choice ONE (example #3001)

  		CHOICE TWO

 
What color dress/gown are you considering? 
If it's not in this list, choose a close match

 
What size dress do you wear?

 
What type of style are you considering?

 
What brand of cosmetics do you prefer?

 
What is your Favorite Hair Care company?

 
What is your favorite kind of music?

 
Which special occasion will you be attending?

 
So how did you find us?

 
Comments

 
Would you like to be notified about exciting new products and services?

After completing the entry form accurately,
press "ENTER" Once

Duplicate Entries Will Be Disqualified.

Good luck!

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