If participant does not have a Daytime Phone Number of Email Address, participant should respond “NONE”. However, participant must have at least a phone number or email address so contact can be made if they are selected as a winner. If an entry form doesn't include at least one (1) form of contact, a phone number or an email address, such entry will be deemed null and void and will not be included in the prize drawing. Alternate form of Entries must be received by 4:00pm (CST) on Friday, October 11, 2019. No more than one (1) entry, per person, per weekday, will be accepted. Photocopies, facsimiles or other reproduction will not be eligible.
______________________________________ Winner’s Signature Print Name: ____________________________ Date: _________________________________