Enter to Win a Laptop Computer!

The LAPTOP GIVE-A-WAY is open to residents of the State of Georgia who are 18 years of age or older. Please refer to the contest rules for complete information. Simply fill in the form below and you will be entered in our drawing. You must enter all information for your entry to be counted. Only one submission per email address and computer will be accepted.

Last Name:
First Name:
Company Name:
Type of Business:
email Address:
Street Address:
City:
State:	(Only GA residents are eligible)
Zip:
Telephone:
Are you listed in the Macon-Middle Ga. Black Pages?	Yes No Not sure Select one
Are you interested in advertising with us?	Select one Yes No Maybe later