Order my winnings! Prize selection form.

Fill out the following form to select your prize(s).

Contact Information

Full Name:
Shipping Address:
City/State/ZIP:
Home / Mobile Phone:
Work Phone:
Fax Number:
Email:
Preferred Communication:	email fax

Select your prize(s)!

We will do everything we can to accomodate your selection. In the event your selection is no longer available, we will contact you. Questions? Email Jennifer Fishman or give her a call at 913.897.9229 x 104.

Electronics:

Elite - Canon SLR Digital Camera
Elite - Bose 3-2-1 GSX Home Entertainment System
Supreme - Samsung LCD Television
Supreme - Whirlpool Duet High Capacity Front Load Washer and Dryer
Ultimate - Maytag Stainless Steel Kitchen Appliances
Ultimate - Home Theater Experience Package

Home & Hobby:

Elite - Krups Compact Automatic Espresso Machine
Elite - Toro Lawn & Snow Package
Supreme - Power Tool Package
Supreme - Weber Grill Package:
Ultimate - Furniture Rewards Gift Certificate
Ultimate - Caldera Spa “San Gabriel” 5 person Hot Tub

Sporting Equipment:

Elite - Bow Flex Home Gym
Elite - Body Solid Endurance Elliptical Training
Supreme - True Fitness Treadmill
Supreme - Fitness Bike Package
Ultimate - Polaris Sportman 300
Ultimate - Polaris Snowmobile 340 LX

Golf:

Elite - Callaway Dream Package
Elite - Cutter & Buck Shopping Spree
Supreme - Premier Callaway/Big Bertha Set
Supreme - TaylorMade R7 Package
Ultimate - $5000 “Golf Dollars”
Ultimate - Premier Callaway Golf Package

Gaming:

Elite - 8' Hockey Table
Elite - Mad River Canoe Horizon 17
Supreme - Olhausen Sheraton Billiard Table and Acccessory Kit
Supreme - Ocean Kayak Power Angler Package
Ultimate - Gaming Package I
Ultimate - Gaming Package II

Women's Accessories:

Elite - Sak’s Fifth Avenue Shopping Spree
Supreme - Judith Leiber Goddess Miniaudiere – Rhinestone
Ultimate - David Yurman Crossover Pave Bracelet

Men's Accessories:

Elite - Tag Heuer Aquaracer Watch - Men’s OR Women’s
Supreme - Baume & Mercier Hampton Milleis Steel Watch
Ultimate - Human Touch Massage Chair