Make your own free website on Tripod.com

Win A Million Dollars!

Contestant Entry Form

Please enter the following information and click the SUBMIT button

First Name
Last Name
Address
City
State
Zip Code
I watch the following television shows on a regular basis: Professional Wrestling
Any Type of Sports
Soap-Operas
The News
The Weather Channel
The Traffic Channel
The number of hours I spend watching television in an average day is: 2 to 3 hours
3 to 8 hours
8 to 10 hours
over 10 hours