$25 Gift Certificate & Book Entry Form

Each issue we give away a $25 Gift Certificate to be redeemed at your favorite shop and several copies of the books we review. To enter, complete this form and submit it to us. Winner(s) will be selected at random.
ALL QUESTIONS MUST BE ANSWERED TO QUALIFY! 

Edition (CO or NM):
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Favorite CR Feature:
Favorite Shop Advertised:
Favorite Shop Because:
Found This Issue At:
  New Reader?
  Regular Reader?
Suggest Stores/Events To Include In The Paper:
  I Always Tell Advertisers I Saw Their Ad In The Country Register
  I Sometimes Tell Advertisers I Saw Their Ad In The Country Register
  I Never Tell Advertisers I Saw Their Ad In The Country Register
Titles Of The Books I Would Like To Register To Win:
Comments:

Win Books & Prizes