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FORECAST IN OUR NECK OF THE WOODS

NBMS Gift Card Drawing

Enter for a chance to win a $25 NBMS Gift Card! Fill out the form below. Please include your first and last name, e-mail address, and phone number. In the "Comment/Question" box simply type (Gift Card Drawing). The winner will be chosen at random on the 1st of each month. Your information is strickly confidential and will only be used to contact the winner. The winner must be able to pick up the Gift Card at our store. We do not mail the cards out. GOOD LUCK!

The following fields must be filled in prior to submission: First Name Last Name At least one of the following: Email Address, Daytime Phone, Evening Phone Comment/Question
First Name
Last Name
Street Address
Street Address 2
City
State/Province	Zip/Postal
Country
Email Address
Daytime Phone	(nnn-nnn-nnnn)
Extension
Evening Phone	(nnn-nnn-nnnn)