Gift Bag Entry Form

Enter to win the same Madison & Mulholland VIP gift bag given away to host and presenters!
*you must be at least 13 years old to enter
Deadline for entry is August 30,2008

Your Name * Title First Last Suffix
Mailing Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
E-Mail Address *

This is how we will contact you if you win.
Phone Number

This is how we will contact you if you win.
Gender *
Age *
Income *
Ethnicity * Caucasian Hispanic African American Asian or Pacific Islander Native American or Alaskan native Mixed racial background Other race
Check all that you feel apply.
If 'other', please explain.
How did you find out about us? * TV Promotion USAToday Newspaper USAToday Website YouTube MySpace Facebook Email Word of Mouth Other
Check any that apply.
How Much do you Love Movie Previews? * I was at the show in LA! I will watch the show on TV (Memorial Day 5/26/08, MyNetworkTV 8pm/ 7pm C) I just want the gift bag!
Check all that apply.
Anything else we should know?