Monthly-Drawing
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Complete the form to the right to be entered into our prize drawing held every two weeks. 
PRIZE ENTRY FORM
DATE
FIRST NAME
LAST NAME
PHYSICAL ADDRESS
MAILING ADDRESS
CITY
STATE
ZIP
PRIMARY PHONE
E-MAIL ADDRESS
BIRTHDATE
ENTRY RULES

1.   You must be 18 years old or older to enter.
2.   You must live within one of our service areas to be eligible.
3.   You must complete our web entry form entirely. Any incomplete form is ineligible.
4.   You must have a valid physical and or mailing address.
5.   This is a website based giveaway and you must fill out the entry form on this page  
      to be eligible. 
6.   The random drawing is held every two weeks by an independent firm and is    
      not based upon age, gender or nationality.
7.   If your name is drawn, you will be contacted by email and a coupon will be sent to       you via email only.
8.   Prizes must be claimed with a 48 hour period or the coupon for the prize is null and            void.
9.   Please bring photo identification when picking up your prize at our store.
10. By completing our entry form, you are giving us permission to use your name and       possibly your photo on our website and/or Facebook page.
11. One entry per person please.


@Copyright 2016 Jackson Propane Plus
Website Design and Maintenance by Marketplace Custom Concepts

​195 James Lewis Drive London Kentucky 40744
DRAWING
SEPTEMBER 2
​CONGRATULATIONS
Shonda Maggard
Manchester, KY
Winner of our YETI Rambler September 23!
I certify that I am 18 years old or over.