non_contest3

NUMBERS ON NAPKINS
"BORRACHOS" CONTEST
ENTRY FORM

Fill out form below and mail to:

Bad Stain Records
PO Box 35254
Phoenix, AZ 85069

Include payment of $25.00 or $10.00 in well concealed cash (we are not
responsible for cash) or a check or Money Order made payable to: Chase

You will be contacted by E-Mail within 5 business days of your payment with your
raffle number. If no E-Mail is available, you will be contacted by phone. Odds of
winning any prize depends on entries received. In the event that 300 people
enter, Odds will be the following:

Grand Prize: 1 in 300
First Prize: 1 in 150
Second Prize: 1 in 75
Third Prize: 1 in 37.5
Fourth Prize: 1 in 25
OVERALL ODDS OF WINNING A PRIZE: 1 in 11.11

FIRST NAME:

LAST NAME:

E-MAIL:

MAILING ADDRESS:

PHONE NUMBER:

(Phone Number only
required if you do not list
an E-Mail Address)

PREFERRED SHIRT: T-Shirt / Baby Doll

SHIRT SIZE: SM / MED / LG / XL / XXL

I only want the
Raffle Ticket for
$11.00

I want to
Pre-Order the new
CD, Poster and
get a Raffle
Ticket for $25.00

CIRCLE ONE: