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WIN $5000 Countryside 12 Days of Christmas Extravaganza Official Entry Form* 1. Spend $100 at a Countryside retailer between 12:01 AM CT 12/13/08 AND 11:59 PM CT 12/24/08 2. Complete entry form and attach original receipt (please print) 3. Hand deliver or mail to: City of Countryside,12 Days of Christmas Sweepstakes, 5550 East Ave., Countryside, IL 60525 4. All entries must be received by 1/31/09 Name:________________________________________________________________ Address:_____________________________________________________________ City:________________________________________________________________ State: ___________________________ Zip:______________________________ Phone:_______________________________________________________________ Email:_______________________________________________________________ *see gocountryside.net for complete list of rules and regulations Printer Friendly Form |
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