WIN AT WORK

I want to register for a chance to win up to $1,000 in the KOOL FM Win at Work Contest. I will listen for the “artist of the day” followed by my name at approximately 9:10am, 1:10pm, and 3:10pm each weekday. If KOOL FM announces my name, I will call 250.920.4642 within 20 minutes for a chance to win up to $1,000!
*Your Name:

*First
*Last
*Address:
 
*City/State/Zip:

*City/Town
*State/Province
*Postal
*Country:
 
*Home Phone:
 
Company Name:
 
*Gender:
  		 
*Email:
 
 
I understand that I must be 19 years or older to register.  I understand that no prizes will be awarded to or information collected from anyone under 19 years of age.  If you fill in this form, you represent that you are 19 years or older.  Web entries are limited to one per unique valid email address.
*Confirmation: I have read and understand the above statement.
© 2010 CHBE Radio