EasyEntry
Please allow it to download completely!

This entry blank is designed to be fast and easy. It is made up of a series of linked panels. To get to the next panel, please click on the right arrow on the Navigator Bar below (or the "NextPage" hypertext link). Click inside the blank and type the information requested. Use Upper and Lower case. No Abbreviations. Please be accurate.

To go to the next panel, please click on the Right Arrow or "NextPage" below!

EasyEntry

This game is sponsored by: The Great American Travel Agent If your browser does not display this form correctly, you may Email the information listed below to: farefan@aol.com. Move from panel to panel by clicking on the "Right Arrow" on the Navigator Bar or the "NextPage" Hypertext link below, until you reach the submit button. Good Luck!

To go to the next panel, please click on the Right Arrow or "NextPage" below!

EasyEntry - Email Address

Your Complete and Accurate Internet Email Address e.g. donjohnson@aol.com Please note: If the Email Address above is inacurate or unable to accept Return Email from us for any reason, you will be disqualified from collecting any prizes won. You may Email us at farefan@aol.com to verify your address.

To go to the next panel, please click on the Right Arrow or "NextPage" below!

EasyEntry - Name

LAST name as it appears on your official ID. FIRST name as it appears on your official ID.

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EasyEntry - Birthdate & Lucky Word/Phrase

Birth Date (MM/DD/YY) Lucky Word or Phrase

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EasyEntry - Street and Apartment Address

Street Address (No. and Street) e.g. 29 John Street Apartment or Suite No. e.g. 1B.

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EasyEntry - City and State

City e.g. Dallas (Please use Upper and Lower Case) State e.g. Mississippi (Please do not abbreviate)

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EasyEntry - Country and Zip or Postal Code

Zip or Postal Code Country - e.g. Canada, Kenya, Uzbekistan, Etc.

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EasyEntry - Telephone Number

Telephone Area/Country Code (e.g. 212) Telephone No. (e.g. 223-3333)

To go to the next panel, please click on the Right Arrow or "NextPage" below!

EasyEntry - Player's Choice

Players Choice: Please type in your choice of 5 additional numbers from 1 - 51, other than the Lucky Number selected above. e.g. 10, 12, 33, 45, 47.

To go to the next panel, please click on the Right Arrow or "NextPage" below!

EasyEntry - Liability Waiver

Enter me FREE in the LOTTO JACKPOT game. I have read how the game is being played and understand that I may not hold anyone connected with this game, liable for damages or penalties arising under any and all circumstances. Please Email me when the LOTTO JACKPOT exceeds $20 Million. YesNo

To go to the next panel, please click on the Right Arrow or "NextPage" below!