You are going to need a Town Shopper Magazine to enter our contest. In the Town Shopper, you will find the instructions for the contest. Please fill out the information below to submit your entry to us.

Kids, make sure that mom or dad gave you permission first!

Your First name:

Last name:

Your e-mail address: (important- enter correctly or we can't get back to you!)

City:

What 6 ads have (Coming Soon!) images in them, not including the contest page in the magazine? (separate each by a comma or return)

Phone:

My Two Choices for Gift Certificates if I win: (Separate by a comma only.)

My Favorite Town Shopper Advertiser to shop at!

Comments or Questions here: