FIRST NAME		LAST NAME
BIRTHDATE (MM/DD/YYYY) 18 yrs+		EMAIL ADDRESS
DAYTIME PHONE (AREA CODE FIRST)		EVENING PHONE (AREA CODE FIRST)
HOME ADDRESS		CITY
STATE		ZIP	I ACKNOWLEDGE THAT I   HAVE READ THE RULES
MOBILE PHONE (AREA CODE FIRST)

THE SWEEPSTAKES HAS ENDED. THIS SITE IS SHOWN ONLY AS A SAMPLE OF DAVID ALAN ENTERPRISES' WORK. NO ENTRY WILL BE SUBMITTED.