<i>Samurai Girl</i> Giveaway Entry Form

Samurai Girl Giveaway Entry Form

Please fill out your contact information to enter the Samurai Girl Giveaway. Thank you!

  New entry:

Name:
Street:
City:
State:
ZIP/Postal:
Phone:
EMail:
Comments:
Include your name, mailing address (no PO boxes), e-mail address, and telephone number. Only one entry per person and one winning entry per household. Entries must be received by September 12, 2008. The winners will be drawn on or after September 13, 2008. The winners will be notified by e-mail and in the comments section. One winning entry per household. You must be a U.S resident to enter.
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