LUV 2 LAF and Bumper Sticker Contest Entry Form


If you WIN, and if you really want to get your prize. . . we really need your name and address.
We haven't figured out how to send a "Zukozone©" or "Zuko Radio Toons©" T-Shirt as 
electronic mail, they just don't fit through the wire.


[FrontPage Save Results Component]
    First Name: 
     Last Name: 
Street Address: 
          City: 
         State: 
      Zip Code: 
        
        E-mail: 
       Age Group:   17 or Younger  18 or Older
        Shirt Size:  Adult Large    X-Large

       Enter your "Vanity Plate" idea here . . . or two if you wish.

Plate #1

Plate #2

Give us a little hint if you think we might not "Get It!"

or Enter your "Bumper Sticker" idea here . . .

   

This information is held in strict confidentiality, we do not sell or exchange our mailing lists.
We will send you our "Zukozone Zapp" newsletter about 5 or 6 times a year . . . to tell you about
new contests or cool new features at the Zukozone . . .
If you don't want to receive the"Zukozone Zapp" just un-check this box:



Copyright © 1998  E'media Inc. All rights reserved.
Revised: August 04, 2002.