Mini Barrel Contest Entry Form

We're happy you noticed our ad at the movies!

Fill out the form below to be entered into our contest for your chance to win a set of City of Mesa mini barrels.

Don't forget to enter the code word shown in the movie ad.

 

Full Name*                                                                                       

        

Phone Number*                                                                                  

        

Email Address*

        

What movie theater did you see us at?*                                           

        

Code Word:*

        

Let us know what you think!  Please provide any comments or feedback about the movie ad.

*Indicates required field.

 

Contest rules:

  • Limit of one entry per person.

  • Entries must be submitted by 11:59 p.m. on Sunday, January 5, 2014.

  • All entries submitted by the deadline date and containing the correct code word will be eligible for the drawing.

  • Drawing will be conducted on Monday, January 6, 2014.

  • Winner will be notified and will be announced on mesarecycles.org.