iPod Touch Official Entry Form

Fill out the form to enter.

Please provide us with the information below to enter the drawing.
You could win a brand new Apple iPod Touch! Our next drawing will be held on 12/31/08.

The drawing is open to US licensed Bar & Nightclub owners, and managers.
For more information please read the Official Drawing Rules.

First Name:*

Last Name:*

Business:*

Address:*

City:* State:*

Zip Code:*

Phone:*

Email:*

Your Current Position:

How did you hear about us?:

Yes, I would like to subscribe to BARSCLUBS-DEK postcard mailing.

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BARSCLUBS-DEK Presents email offers.

I agree with the Official Drawing Rules. *

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