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Advance Notice Database Entry Form


The asterisks ( * ) below, indicate the minimum REQUIRED data necessary to be entered to receive FREE CDs and DVDs, and to be called when we have a HOT, Advance Notice special item.
	Mr./Miss/Mrs./Ms.:
	*First Name:**
	*Last Name:**
	Street Address Line 1:
	Street Address Line 2:
	City:
	State:
	*Zip/Postal Code:**
	*Home (OR) Office Telephone Number:**
	Home Office NNN-NNN-NNNN
	Hours we can reach you at this number:
	*Date of Birth (MM-DD-YY - You must be 18+ to enter):**
	*E-mail Address:**
	Alternate E-mail Address:



After you click the button above, in about one minute, you'll see the number to our Customer Service Department. You only need to register your telephone number once to be eligible to win CDs and DVDs. Registering your listed land-line telephone number gives you two listings (thereby doubling your chances).