Congratulations Winner!

Please verify your information below so that we can mail your $25 Gift Certificate. The gift certificate is redeemable at the business of your choice featured in the Money Mailer envelope.

 

*First Name:
*Last Name:
*Address Line 1:
Address Line 2:
*City:
*State:	Select one... AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
*Zip:
*Phone:
E-mail:
Please name the local Money Mailer advertiser where you would like to redeem your $25 gift certificate
*Advertiser Name
*Advertiser Phone
*Certificate No.
	(See the bottom of your certificate as shown above.)