13 Days of Christmas Mega Register and win

 Sign up and win a $500 Dollar Gift Certificate from Mega

Winner will be chosen on Dec. 23rd, 2009, Last entry will be taken on Dec. 22nd, 2009 at 11:55pm.

Click Here for Mega's Website

* Only one Entry per person on this drawing,

1.Information
First Name*
Last Name*
Address*
City*
State*
Zip Code*
Phone Number*
2.E-mail Address
Email Address
3.Please enter your date of birth.
Month* Day* Year*
4.Terms and Conditions
   YES, I have read, understand, and agree to the Web site usage agreement and privacy policy.
* represents required fields
Children under the age of 13 may not submit this form.